| NPI | 1811156391 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036-118149) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036.118149) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: TX P2089) | |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2024-04-24 |