NPI | 1306137153 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036146602) |
Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: UT 8414907-1205) |
2085R0202X Radiology, Diagnostic Radiology (Licence: UT 8414907-1205) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2011-04-27 |
Last Update Date | 2021-04-20 |