| NPI | 1295791515 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036-121952) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 44913) |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: IL 036-121952) | |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2023-12-04 |