NPI | 1811131089 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036138786) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2015026118) |
2085R0202X Radiology, Diagnostic Radiology (Licence: TX p1126) | |
Enumeration Date | 2009-05-01 |
Last Update Date | 2023-11-27 |