| NPI | 1679617872 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036066133) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036066133) |
| 2085U0001X Radiology, Diagnostic Ultrasound (Licence: IL 036066133) | |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2021-12-20 |