| NPI | 1356489215 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0904X (Licence: IL 036136868) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: MD D65192) |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2023-09-01 |