NPI | 1144533068 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036139809) |
Additional Taxonomies | 2085D0003X Radiology, Diagnostic Neuroimaging (Licence: IL 036139809) |
2085N0700X Radiology, Neuroradiology (Licence: IL 036139809) | |
2085R0202X Radiology, Diagnostic Radiology (Licence: WA MD60447148) | |
Enumeration Date | 2010-07-20 |
Last Update Date | 2025-03-17 |