NPI | 1487074621 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 73437) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036143609) |
Enumeration Date | 2014-04-25 |
Last Update Date | 2025-08-26 |