| NPI | 1760547889 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: IL 036113885) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2002021169) |
| 2085N0700X Radiology, Neuroradiology (Licence: IL 036113885) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036113885) | |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2018-01-22 |