| NPI | 1386059400 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036-150449) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D88503) |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2023-11-27 |