| NPI | 1639564115 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036.157267) |
| Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: IL 036.157267) |
| 2085N0904X Radiology, Nuclear Radiology (Licence: IL 036.157267) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 67902-20) | |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2021-12-28 |