| NPI | 1477710424 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: PA MD5265029) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036.127055) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD5265029) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: IL 036.127055) | |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2024-06-27 |