| NPI | 1740231364 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: IL 036135433) |
| Additional Taxonomies | 2085N0700X Radiology Neuroradiology (Licence: MN 44526) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: WI 81058) | |
| 2085N0700X Radiology Neuroradiology (Licence: IL 036-135433) | |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2023-11-08 |