| NPI | 1366833204 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036153234) |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: IL 125.072711) |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: IL 036153234) | |
| Enumeration Date | 2015-02-13 |
| Last Update Date | 2025-02-07 |