| NPI | 1255378832 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: MO 2001010859) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: IL 036117188) |
| 2085R0204X Radiology Vascular & Interventional Radiology (Licence: IL 036117188) | |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2024-10-01 |