| NPI | 1144253410 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MO R1J93) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036078330) |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: IL 036078330) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: MO R1J93) | |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2020-11-10 |