| NPI | 1386834299 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology Vascular & Interventional Radiology (Licence: IL 036129966) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: MN 103833) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: MI 4301090815) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: IL 036129966) | |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2016-08-23 |