| NPI | 1477048312 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085B0100X Radiology, Body Imaging (Licence: IL 036165189) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MT219043) |
| Enumeration Date | 2018-06-23 |
| Last Update Date | 2024-09-20 |