| NPI | 1144537051 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: IL 036123822) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036123822) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2012013474) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: MO 2012013474) | |
| Enumeration Date | 2010-09-13 |
| Last Update Date | 2022-12-26 |