| NPI | 1902873375 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036096447) |
| Additional Taxonomies | 2085N0904X (Licence: IL 036096447) |
| Enumeration Date | 2006-03-03 |
| Last Update Date | 2023-09-19 |