| NPI | 1922413111 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036-147612) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125065248) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IA DO-05343) | |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2024-03-07 |