| NPI | 1861756652 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0904X (Licence: IL 036.145291) |
| Additional Taxonomies | 2085N0904X (Licence: MI 4301501070) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2018008046) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036.145291) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301501070) | |
| 207U00000X Nuclear Medicine (Licence: IL 036.145291) | |
| 207U00000X Nuclear Medicine (Licence: MO 2018008046) | |
| 207U00000X Nuclear Medicine (Licence: MI 4301501070) | |
| 2085N0904X (Licence: MO 2018008046) | |
| Enumeration Date | 2012-06-27 |
| Last Update Date | 2023-11-30 |