| NPI | 1922121243 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 64497) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 71299) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036122774) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: IL 036122774) | |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2025-12-01 |