NPI | 1144750456 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036159584) |
Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: IL 036.159584) |
208800000X Urology (Licence: IN 11019557A) | |
Enumeration Date | 2017-06-19 |
Last Update Date | 2022-03-29 |