| NPI | 1245626183 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: IL 036151897) |
| Additional Taxonomies | 2085D0003X Radiology Diagnostic Neuroimaging (Licence: IL 036151897) |
| Enumeration Date | 2015-04-07 |
| Last Update Date | 2025-08-04 |