| NPI | 1952711145 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036149605) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: LA 313342) |
| Enumeration Date | 2014-04-28 |
| Last Update Date | 2021-05-04 |