| NPI | 1851771562 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: IL 036144986) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125066316) |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2023-08-04 |