| NPI | 1396124111 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036152154) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 125066486) |
| 208600000X Surgery (Licence: IL 125066486) | |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2021-08-26 |