| NPI | 1467748558 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: VA 0102203209) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036174392) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0102203209) | |
| Enumeration Date | 2011-06-27 |
| Last Update Date | 2026-02-26 |