| NPI | 1952808529 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: IL 036168329) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036168329) |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: VA 0101286636) | |
| Enumeration Date | 2018-04-10 |
| Last Update Date | 2025-10-01 |