| NPI | 1841426558 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: MO 2026028077) |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: OH 35C.004386) |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: IL 036174665) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036174665) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 35C.004386) | |
| Enumeration Date | 2009-06-09 |
| Last Update Date | 2026-08-12 |