NPI | 1871984823 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036157012) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
2085R0204X Radiology, Vascular & Interventional Radiology (Licence: IL 036-157012) | |
2085R0202X Radiology, Diagnostic Radiology (Licence: IL 125067279) | |
Enumeration Date | 2015-02-12 |
Last Update Date | 2024-03-19 |