| NPI | 1659682524 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036132246) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.057595) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2015004433) | |
| Enumeration Date | 2010-06-25 |
| Last Update Date | 2022-08-22 |