NPI | 1639602055 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301500601) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036164130) |
Enumeration Date | 2017-04-04 |
Last Update Date | 2024-12-20 |