| NPI | 1548499106 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036138021) |
| Additional Taxonomies | 2085P0229X Radiology, Pediatric Radiology (Licence: IL 036138021) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301094894) | |
| Enumeration Date | 2009-07-03 |
| Last Update Date | 2022-03-02 |