| NPI | 1821520446 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036159013) |
| Additional Taxonomies | 2085N0700X (Licence: IL 036159013) |
| Enumeration Date | 2017-04-02 |
| Last Update Date | 2025-05-06 |