NPI | 1578911061 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: IL 036.170625) |
Additional Taxonomies | 208600000X Surgery (Licence: IL 125.072323) |
Enumeration Date | 2016-05-25 |
Last Update Date | 2024-06-24 |