NPI | 1881987972 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 125-060792) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT199378) |
Enumeration Date | 2011-05-23 |
Last Update Date | 2015-10-12 |