| NPI | 1588643449 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036.047099) |
| Additional Taxonomies | 247100000X Radiologic Technologist |
| Enumeration Date | 2006-01-10 |
| Last Update Date | 2015-03-06 |