| NPI | 1295996460 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: AZ 69975) |
| Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: IL 036-128852) |
| 2085P0229X Radiology, Pediatric Radiology (Licence: IL 036-128852) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2010038063) | |
| Enumeration Date | 2008-06-20 |
| Last Update Date | 2024-01-16 |