| NPI | 1609026467 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: IL 036121295) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME159858) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036121295) | |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2024-05-16 |