| NPI | 1093864118 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036-117228) |
| Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: WI 63797-20) |
| 2085N0700X Radiology, Neuroradiology (Licence: IL 036-117228) | |
| 2085N0700X Radiology, Neuroradiology (Licence: IA 35838) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IA 35838) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 63797-20) | |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2017-10-06 |