NPI | 1164819694 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036152866) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 125068001) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-04-22 |
Last Update Date | 2021-07-12 |