NPI | 1386059400 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036-150449) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D88503) |
Enumeration Date | 2014-06-26 |
Last Update Date | 2023-11-27 |