| NPI | 1649479650 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: IL 036120800) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: MO 2005021692) |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2022-05-19 |