NPI | 1467516732 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036.059400) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 35.048196) |
Enumeration Date | 2006-12-21 |
Last Update Date | 2016-09-19 |