| NPI | 1386852010 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: IL 036119760) |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: VA 0101236094) |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: IN 01064613A) | |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2017-05-09 |