| NPI | 1164486338 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036157692) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: AZ 34961) |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: AZ 34961) | |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2023-11-09 |