| NPI | 1679686679 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: IL 036091122) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036-091122) |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2023-11-29 |