NPI | 1285126086 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085N0700X Radiology, Neuroradiology (Licence: IL 036169809) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125071895) |
2085R0202X Radiology, Diagnostic Radiology (Licence: WA 61434708) | |
Enumeration Date | 2018-06-06 |
Last Update Date | 2024-07-22 |