| NPI | 1528448479 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085D0003X Radiology, Diagnostic Neuroimaging (Licence: IL 036.151735) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 94-08610) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: KS 04-43945) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: KS 94-08610) | |
| Enumeration Date | 2015-06-05 |
| Last Update Date | 2020-10-13 |