| NPI | 1760584312 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD028271E) |
| Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: PA C32750) |
| 2085B0100X Radiology, Body Imaging (Licence: IL 036107519) | |
| 2085N0904X (Licence: PA C32750) | |
| 2085N0904X (Licence: MD D0050890) | |
| 2085N0904X (Licence: IL 036107519) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036.108041) | |
| 2085U0001X Radiology, Diagnostic Ultrasound (Licence: PA MD028271E) | |
| 2085U0001X Radiology, Diagnostic Ultrasound (Licence: MD D0050890) | |
| 2085U0001X Radiology, Diagnostic Ultrasound (Licence: IL 036107519) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D0057315) | |
| Enumeration Date | 2006-09-03 |
| Last Update Date | 2014-04-08 |