NPI | 1609610872 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: IL 125.084559) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.084559) |
Enumeration Date | 2024-06-22 |
Last Update Date | 2024-06-22 |