| NPI | 1619322252 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036156032) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125068937) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2018014985) | |
| Enumeration Date | 2016-05-02 |
| Last Update Date | 2022-04-29 |