| NPI | 1326430166 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0204X Radiology Vascular & Interventional Radiology (Licence: IL 036176567) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: IL 036176567) |
| 208600000X Surgery (Licence: IL 036176567) | |
| Enumeration Date | 2015-03-03 |
| Last Update Date | 2025-08-14 |