NPI | 1871788323 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036120748) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01092537A) |
2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301081973) | |
Enumeration Date | 2007-09-07 |
Last Update Date | 2025-07-09 |