| NPI | 1144269432 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: MI 4301053380) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036100789) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036100789) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: IL 036100789) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: MI 4301053380) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301053380) | |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2015-12-08 |