| NPI | 1407410392 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0700X Radiology Neuroradiology (Licence: IL 036161958) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: IL 125.073923) |
| Enumeration Date | 2019-04-25 |
| Last Update Date | 2022-11-14 |