| NPI | 1417395062 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: IL 036145500) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA L-255577) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A135628) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: CA A135628) | |
| Enumeration Date | 2013-06-05 |
| Last Update Date | 2022-01-06 |