| NPI | 1811192867 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036-121154) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CT 045449) |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2013-09-12 |