NPI | 1033287776 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: MI 4301041301) |
Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: IL 036055112) |
208D00000X General Practice (Licence: MI 4301041301) | |
Enumeration Date | 2006-12-01 |
Last Update Date | 2023-07-07 |