| NPI | 1952956369 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085B0100X Radiology, Body Imaging (Licence: IL 036159059) |
| Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: IL 125073484) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036159059) | |
| Enumeration Date | 2019-08-04 |
| Last Update Date | 2024-10-01 |