| NPI | 1992195697 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036.149634) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 74637) |
| Enumeration Date | 2015-02-02 |
| Last Update Date | 2024-02-05 |