| NPI | 1700847761 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036085077) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MO R5J71) |
| Enumeration Date | 2006-03-30 |
| Last Update Date | 2011-02-07 |