| NPI | 1538185095 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036097303) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: MI 045273) |
| 2085R0001X Radiology, Radiation Oncology (Licence: IL 036-097303) | |
| 208D00000X General Practice (Licence: IL 036097303) | |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2016-12-29 |