NPI | 1235175779 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036.122873) |
Additional Taxonomies | 2085N0700X (Licence: IL 036122873) |
2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2004018051) | |
Enumeration Date | 2006-06-22 |
Last Update Date | 2025-08-25 |