NPI | 1265842611 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036.148258) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME124913) |
Enumeration Date | 2014-05-06 |
Last Update Date | 2019-07-01 |