| NPI | 1295994168 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085N0700X Radiology Neuroradiology (Licence: IL 036123469) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: NY 237335) |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2014-09-18 |