| NPI | 1659362929 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0203X Radiology, Therapeutic Radiology (Licence: IL 036-115830) |
| Additional Taxonomies | 2085R0001X (Licence: MA 152515) |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2025-09-11 |