| NPI | 1215238209 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085N0904X (Licence: CA A117782) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: CA A117782) |
| 207UN0902X Nuclear Medicine, Nuclear Imaging & Therapy (Licence: CA A117782) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036133414) | |
| Enumeration Date | 2010-11-08 |
| Last Update Date | 2024-04-09 |