NPI | 1023515509 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036171048) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CT 74290) |
Enumeration Date | 2018-04-10 |
Last Update Date | 2025-06-23 |