| NPI | 1669732970 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036145110) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10042775) |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2021-03-05 |