| NPI | 1689104291 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036167135) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 272755) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2023037329) | |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2023-12-29 |