| NPI | 1821528696 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085B0100X Radiology Body Imaging (Licence: IL 036160542) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: MI 4351043623) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: IL 036160542) | |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2023-11-07 |