| NPI | 1932276672 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0904X (Licence: IL 036079988) |
| Additional Taxonomies | 2085N0904X (Licence: MI 4301501049) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036079988) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301501049) | |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2023-12-06 |