| NPI | 1558339937 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036069940) |
| Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: IL 036069940) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: KY 40213) | |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2015-11-03 |