NPI | 1326612052 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 125078515) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 1326612052) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2021-05-17 |
Last Update Date | 2022-07-20 |