| NPI | 1326337932 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2017008012) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036144873) |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: MO 2017008012) | |
| Enumeration Date | 2011-04-04 |
| Last Update Date | 2020-07-13 |