| NPI | 1477089969 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: IL 036163665) |
| Additional Taxonomies | 208D00000X General Practice (Licence: CT 70164) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: IL 163655) | |
| Enumeration Date | 2017-05-04 |
| Last Update Date | 2023-12-28 |