NPI | 1841671799 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085N0700X Radiology, Neuroradiology (Licence: IL 036147538) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036147538) |
2085R0202X Radiology, Diagnostic Radiology (Licence: IL 125068448) | |
Enumeration Date | 2015-06-17 |
Last Update Date | 2020-06-25 |