| NPI | 1477538874 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: IL 036107738) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: MO 2001002823) |
| Enumeration Date | 2005-12-08 |
| Last Update Date | 2023-11-09 |