| NPI | 1184879710 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology Vascular & Interventional Radiology (Licence: IL 036126957) |
| Additional Taxonomies | 2085R0204X Radiology Vascular & Interventional Radiology (Licence: PA MD439754) |
| 2085R0204X Radiology Vascular & Interventional Radiology (Licence: MD D68081) | |
| 2085R0204X Radiology Vascular & Interventional Radiology (Licence: NY 233410) | |
| 2085R0204X Radiology Vascular & Interventional Radiology (Licence: OH 35.094295) | |
| 2085R0204X Radiology Vascular & Interventional Radiology (Licence: WI 77789) | |
| Enumeration Date | 2008-11-24 |
| Last Update Date | 2022-12-21 |