| NPI | 1427205418 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036.122992) |
| Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: IL 036122992) |
| Enumeration Date | 2008-08-21 |
| Last Update Date | 2019-05-01 |