NPI | 1467077255 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 125.076915) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.076915) |
Enumeration Date | 2020-06-08 |
Last Update Date | 2023-05-20 |