| NPI | 1528214855 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085D0003X Radiology, Diagnostic Neuroimaging (Licence: IL 036138788) |
| Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: IL 036-138788) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036-138788) | |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2020-09-24 |