| NPI | 1801069331 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: AR E-8555) |
| Additional Taxonomies | 2085D0003X Radiology, Diagnostic Neuroimaging (Licence: IL 036161743) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD449095) | |
| Enumeration Date | 2008-04-04 |
| Last Update Date | 2025-02-24 |