| NPI | 1861455271 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology Vascular & Interventional Radiology (Licence: CO DR.0063234) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: IL 036111038) |
| 2085R0204X Radiology Vascular & Interventional Radiology (Licence: IL 036111038) | |
| 2085R0204X Radiology Vascular & Interventional Radiology (Licence: AZ 63669) | |
| Enumeration Date | 2006-04-07 |
| Last Update Date | 2024-05-23 |