NPI | 1053385898 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036127302) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MO MO36718) |
Enumeration Date | 2006-02-16 |
Last Update Date | 2021-04-30 |