| NPI | 1386802312 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036152666) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: HI MDR5360) |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2022-03-24 |