| NPI | 1295965762 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME129186) |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: FL ME129186) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036138512) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: IL 036138512) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: MD D85994) | |
| Enumeration Date | 2009-07-20 |
| Last Update Date | 2024-11-15 |