| NPI | 1215176078 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: IL 036.146830) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: AZ 45120) |
| 2085N0904X Radiology Nuclear Radiology (Licence: AZ 45120) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: AZ 45120) | |
| Enumeration Date | 2009-02-18 |
| Last Update Date | 2018-08-27 |