NPI | 1679568422 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 35121305) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036-108005) |
Enumeration Date | 2005-09-19 |
Last Update Date | 2017-11-01 |