| NPI | 1457349979 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0700X Radiology Neuroradiology (Licence: MI 4301086849) |
| Additional Taxonomies | 2085N0700X Radiology Neuroradiology (Licence: IL 036114920) |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2010-02-04 |