NPI | 1871974162 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: IL 125066955) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 125066955) |
207R00000X Internal Medicine (Licence: IL 125066955) | |
Enumeration Date | 2015-06-12 |
Last Update Date | 2021-04-28 |