| NPI | 1346248028 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: IL 036143094) |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: FL ME0078629) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101259162) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME78629) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: TN 53466) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: TN 53466) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: FL ME78629) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: IL 036143094) | |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2021-04-05 |