NPI | 1063627370 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036-125680) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 2009-01027) |
Enumeration Date | 2007-05-11 |
Last Update Date | 2024-01-23 |