| NPI | 1831517580 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036152630) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OT016043) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 125066173) | |
| Enumeration Date | 2014-03-31 |
| Last Update Date | 2020-09-24 |