| NPI | 1093722738 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology Vascular & Interventional Radiology (Licence: IL 036111381) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: WI 47817) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: IL 036111381) | |
| 2085R0204X Radiology Vascular & Interventional Radiology (Licence: WI 47817) | |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2016-08-23 |