| NPI | 1477828085 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036140394) |
| Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: IL 036140394) |
| 2085D0003X Radiology, Diagnostic Neuroimaging (Licence: IL 036140394) | |
| Enumeration Date | 2012-03-14 |
| Last Update Date | 2020-07-31 |