| NPI | 1851330252 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036-104629) |
| Additional Taxonomies | 174400000X Specialist (Licence: IL 036-104629) |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2021-04-22 |