NPI | 1851822092 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085B0100X Radiology, Body Imaging (Licence: CA A184987) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A184987) |
2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036170340) | |
Enumeration Date | 2017-03-21 |
Last Update Date | 2025-05-27 |