NPI | 1093874422 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085N0700X Radiology, Neuroradiology (Licence: LA DO000105) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036111688) |
Enumeration Date | 2006-12-08 |
Last Update Date | 2012-01-11 |