| NPI | 1255592655 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: IL 036136518) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125054943) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036.136518) | |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2024-03-28 |