| NPI | 1952975518 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: IL 036.169180) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: NY 325229-01) |
| Enumeration Date | 2021-05-18 |
| Last Update Date | 2025-10-27 |