NPI | 1083382212 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: IL 125.083105) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 125.083105) |
Enumeration Date | 2021-09-02 |
Last Update Date | 2024-07-11 |