| NPI | 1396780862 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207U00000X Nuclear Medicine (Licence: IL 036-079728) |
| Additional Taxonomies | 174400000X Specialist (Licence: IL 036-079728) |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2021-04-30 |