| NPI | 1912469685 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: IL 036165564) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX 036165564) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036165564) | |
| 208600000X Surgery (Licence: NC 250925) | |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2024-08-21 |