| NPI | 1356981302 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0700X Radiology Neuroradiology (Licence: IL 036167365) |
| Additional Taxonomies | 2085B0100X Radiology Body Imaging (Licence: IL 036167365) |
| 207U00000X Nuclear Medicine (Licence: IL 036167365) | |
| Enumeration Date | 2020-01-07 |
| Last Update Date | 2024-06-20 |