| NPI | 1558400358 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: IL 036-123830) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: MD T4136) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2024-01-04 |