NPI | 1831365279 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A107054) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036-118473) |
2085R0204X Radiology, Vascular & Interventional Radiology (Licence: CA A107054) | |
Enumeration Date | 2008-05-06 |
Last Update Date | 2010-07-28 |