| NPI | 1346424991 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A108585) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036115871) |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: CA A108585) | |
| Enumeration Date | 2007-12-18 |
| Last Update Date | 2026-06-18 |