| NPI | 1881030260 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: IL 036150260) |
| Additional Taxonomies | 2085B0100X Radiology Body Imaging (Licence: IL 036150260) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: WI 73055) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: IL 125069721) | |
| Enumeration Date | 2013-05-13 |
| Last Update Date | 2021-10-07 |