NPI | 1154749901 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036.144016) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125065434) |
2085R0202X Radiology, Diagnostic Radiology (Licence: IL 125-065434) | |
Enumeration Date | 2014-03-30 |
Last Update Date | 2023-08-29 |