NPI | 1083654255 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA C52992) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036044744) |
Enumeration Date | 2006-06-07 |
Last Update Date | 2011-05-25 |