NPI | 1063677946 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085R0204X Radiology Vascular & Interventional Radiology (Licence: IL 036127481) |
Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: IL 036.127481) |
Enumeration Date | 2008-07-21 |
Last Update Date | 2016-03-31 |