| NPI | 1427057058 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036092130) |
| Additional Taxonomies | 174400000X Specialist (Licence: KS 0429530) |
| Enumeration Date | 2005-07-15 |
| Last Update Date | 2022-10-19 |