NPI | 1568618668 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 125050771) |
Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: MD D0075066) |
Enumeration Date | 2008-08-08 |
Last Update Date | 2024-07-03 |