| NPI | 1538689922 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: IL 036160427) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: SC LL40928) |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2022-08-26 |