NPI | 1275979825 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036-148673) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125063048) |
2085R0202X Radiology, Diagnostic Radiology (Licence: WI 63087) | |
Enumeration Date | 2013-05-21 |
Last Update Date | 2023-10-23 |