| NPI | 1508257916 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: OR MD204344) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 125066276) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036152085) | |
| Enumeration Date | 2015-02-08 |
| Last Update Date | 2021-08-05 |