| NPI | 1851821581 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085N0700X Radiology, Neuroradiology (Licence: IL 036159922) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 125.071227) |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2022-06-06 |