| NPI | 1649486622 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036-041661) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IA 17160) |
| 2085R0203X Radiology, Therapeutic Radiology (Licence: IL 036-041661) | |
| 2085R0203X Radiology, Therapeutic Radiology (Licence: IA 17160) | |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2009-07-02 |