| NPI | 1730495441 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0700X (Licence: IL 036130789) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036130789) |
| Enumeration Date | 2010-08-19 |
| Last Update Date | 2025-04-04 |