NPI | 1952808529 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: IL 036168329) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036168329) |
Enumeration Date | 2018-04-10 |
Last Update Date | 2024-07-02 |