| NPI | 1740376383 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0700X Radiology Neuroradiology (Licence: IL 036132754) |
| Additional Taxonomies | 2085R0204X Radiology Vascular & Interventional Radiology (Licence: PA MD070661L) |
| 2085R0204X Radiology Vascular & Interventional Radiology (Licence: MD D0058955) | |
| 2085R0204X Radiology Vascular & Interventional Radiology (Licence: VA 0101232119) | |
| 2085R0204X Radiology Vascular & Interventional Radiology (Licence: DC MD33663) | |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2022-05-21 |