| NPI | 1720423312 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036140963) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 125062578) |
| Enumeration Date | 2013-05-08 |
| Last Update Date | 2019-06-26 |