| NPI | 1760443741 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036110681) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 34427) |
| Enumeration Date | 2006-03-30 |
| Last Update Date | 2011-02-07 |