| NPI | 1083925085 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2015011043) |
| Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: MO 2015011043) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036144830) | |
| Enumeration Date | 2010-06-24 |
| Last Update Date | 2020-07-13 |