| NPI | 1205720026 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IL 125.085514) |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: IL 125.085514) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2025-06-05 |
| Last Update Date | 2025-07-23 |