| NPI | 1497721088 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207U00000X Nuclear Medicine (Licence: MO R5F02)  | 
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MO R5F02)  | 
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO R5F02)  | |
| 207UN0902X Nuclear Medicine, Nuclear Imaging & Therapy (Licence: MO R5F02)  | |
| 207U00000X Nuclear Medicine (Licence: IL 036069181)  | |
| Enumeration Date | 2006-02-24 | 
| Last Update Date | 2016-02-22 |