| NPI | 1396833893 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MS 21134) |
| Additional Taxonomies | 174400000X Specialist (Licence: MS 21134) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036171528) | |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2024-11-01 |