| NPI | 1801002209 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036-114080) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX M5609) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2023-09-08 |