| NPI | 1821058397 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036073546) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MO R3F94) |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2008-09-02 |