NPI | 1922413111 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036-147612) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125065248) |
2085R0202X Radiology, Diagnostic Radiology (Licence: IA DO-05343) | |
Enumeration Date | 2014-06-25 |
Last Update Date | 2024-03-07 |