| NPI | 1538385737 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036117688) |
| Additional Taxonomies | 174400000X Specialist (Licence: IL 36117688) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2022-10-03 |