| NPI | 1811254592 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0700X Radiology, Neuroradiology (Licence: IL 036-152359) |
| Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: PA MD472494) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD472494) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 080909) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036152359) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-04-18 |
| Last Update Date | 2023-08-16 |