| NPI | 1609801703 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: IL 036-109450) |
| Additional Taxonomies | 2085B0100X Radiology Body Imaging (Licence: IL 036109450) |
| 2085N0700X Radiology Neuroradiology (Licence: IL 036109450) | |
| 2085N0700X Radiology Neuroradiology (Licence: VA 0101238454) | |
| 2085N0904X Radiology Nuclear Radiology (Licence: VA 0101238454) | |
| 2085N0904X Radiology Nuclear Radiology (Licence: IL 036109450) | |
| 2085P0229X Radiology Pediatric Radiology (Licence: IL 036109450) | |
| 2085P0229X Radiology Pediatric Radiology (Licence: VA 0101238454) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: IL 036109450) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: VA 0101238454) | |
| 2085R0204X Radiology Vascular & Interventional Radiology (Licence: WI 70093-20) | |
| 2085R0204X Radiology Vascular & Interventional Radiology (Licence: IL 036109450) | |
| 2085R0204X Radiology Vascular & Interventional Radiology (Licence: VA 0101238454) | |
| 2085U0001X Radiology Diagnostic Ultrasound (Licence: IL 036109450) | |
| 2085U0001X Radiology Diagnostic Ultrasound (Licence: VA 0101238454) | |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2025-04-10 |