| NPI | 1851353395 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036078686) |
| Additional Taxonomies | 2085N0904X Radiology, Nuclear Radiology (Licence: IL 036078686) |
| 207U00000X Nuclear Medicine (Licence: IL 036078686) | |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2021-12-10 |