| NPI | 1669603858 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085N0700X Radiology, Neuroradiology (Licence: IL 036141662) |
| Additional Taxonomies | 2085D0003X Radiology, Diagnostic Neuroimaging (Licence: IL 036141662) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301094847) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036141662) | |
| Enumeration Date | 2009-08-05 |
| Last Update Date | 2023-01-31 |