NPI | 1407410392 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085N0700X Radiology, Neuroradiology (Licence: IL 036161958) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 125.073923) |
Enumeration Date | 2019-04-25 |
Last Update Date | 2022-11-14 |