NPI | 1881030260 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036150260) |
Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: IL 036150260) |
2085R0202X Radiology, Diagnostic Radiology (Licence: WI 73055) | |
2085R0202X Radiology, Diagnostic Radiology (Licence: IL 125069721) | |
Enumeration Date | 2013-05-13 |
Last Update Date | 2021-10-07 |