| NPI | 1760622138 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036139583) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 071865) |
| 2085N0700X Radiology, Neuroradiology (Licence: GA 071865) | |
| Enumeration Date | 2009-02-25 |
| Last Update Date | 2016-01-27 |