| NPI | 1033408836 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: IL 036.127350) |
| Additional Taxonomies | 2085N0700X Radiology Neuroradiology (Licence: IL 036.127350) |
| Enumeration Date | 2011-04-01 |
| Last Update Date | 2016-11-09 |