| NPI | 1396713590 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036089631) |
| Additional Taxonomies | 247100000X Radiologic Technologist (Licence: IL 036-089631) |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2018-09-18 |