| NPI | 1356981302 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207U00000X Nuclear Medicine (Licence: IL 125-075357) |
| Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: IL 4325911) |
| Enumeration Date | 2020-01-07 |
| Last Update Date | 2021-06-17 |