NPI | 1265676621 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036-138413) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 02004433A) |
Enumeration Date | 2009-04-28 |
Last Update Date | 2024-01-11 |