| NPI | 1598927204 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036-163692) |
| Additional Taxonomies | 2085N0700X (Licence: NC 2008-00720) |
| 2085N0700X (Licence: IL 036-163692) | |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2024-01-03 |