| NPI | 1508081969 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A113928) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 36117841) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2011-03-22 |