NPI | 1194068460 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: IL 036148302) |
Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: NY 294686) |
2085R0202X Radiology Diagnostic Radiology (Licence: CT 66394) | |
2085R0202X Radiology Diagnostic Radiology (Licence: KY 54609) | |
Enumeration Date | 2013-04-04 |
Last Update Date | 2022-09-19 |