| NPI | 1528408903 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: IL 036.145906) |
| Additional Taxonomies | 2085P0229X Radiology, Pediatric Radiology (Licence: WI 733) |
| Enumeration Date | 2013-06-28 |
| Last Update Date | 2021-11-18 |