NPI | 1942323225 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301093713) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036-114472) |
Enumeration Date | 2007-04-09 |
Last Update Date | 2013-09-25 |