| NPI | 1871941930 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036156572) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 125068117) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036.156572) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 125068117) | |
| Enumeration Date | 2016-05-31 |
| Last Update Date | 2021-07-27 |