| NPI | 1821353475 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036140405) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125062371) |
| Enumeration Date | 2012-07-10 |
| Last Update Date | 2023-03-08 |