| NPI | 1518463231 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036163315) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 83034-20) |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2024-04-22 |