NPI | 1689615767 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036090617) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2009010354) |
Enumeration Date | 2006-06-09 |
Last Update Date | 2022-08-23 |