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 |