NPI | 1043660285 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085N0700X Radiology, Neuroradiology (Licence: CA A190243) |
Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: IL 036.156760) |
2085R0202X Radiology, Diagnostic Radiology (Licence: IL 125.069247) | |
2085R0202X Radiology, Diagnostic Radiology (Licence: WI 76856-20) | |
Enumeration Date | 2016-06-19 |
Last Update Date | 2023-10-13 |