NPI | 1568738755 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036-137672) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036137672) |
Enumeration Date | 2012-04-01 |
Last Update Date | 2022-04-05 |