| NPI | 1740598523 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0700X Radiology Neuroradiology (Licence: IL 036140283) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: IL 036140283) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-09-15 |
| Last Update Date | 2016-07-21 |