| NPI | 1649269440 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036178443) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: ME 017948) |
| Enumeration Date | 2005-10-14 |
| Last Update Date | 2026-01-20 |