| NPI | 1801117585 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0700X Radiology Neuroradiology (Licence: IL 036.148822) |
| Additional Taxonomies | 2085N0700X Radiology Neuroradiology (Licence: WI 70505-20) |
| 2085N0700X Radiology Neuroradiology (Licence: MN 61898) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: CO DR.0068906) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: MO 2015013114) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: NY 319983) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: IL 036.148822) | |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: WI 70505) | |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2023-12-15 |