NPI | 1962909895 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036164003) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01093345A) |
Enumeration Date | 2018-04-08 |
Last Update Date | 2024-06-06 |