NPI | 1174985287 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036.155721) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME141909) |
Enumeration Date | 2016-03-28 |
Last Update Date | 2021-06-08 |