NPI | 1700172905 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 70979) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036139582) |
2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2015032299) | |
Enumeration Date | 2011-06-26 |
Last Update Date | 2022-07-07 |