| NPI | 1649200973 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D50565) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036103744) |
| 2085N0700X Radiology, Neuroradiology (Licence: MD D50565) | |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2020-09-29 |