| NPI | 1598104390 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0700X Radiology, Neuroradiology (Licence: IL 036-151396) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: CA A153897) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A153897) | |
| Enumeration Date | 2013-06-14 |
| Last Update Date | 2023-10-23 |