| NPI | 1588622682 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036.110598) |
| Additional Taxonomies | 174400000X Specialist (Licence: IL 036110598) |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2026-03-04 |