| NPI | 1992939227 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A108686) |
| Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: IL 036131180) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036131180) | |
| Enumeration Date | 2009-05-14 |
| Last Update Date | 2016-05-02 |