| NPI | 1891394524 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036-163972) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: IL 036-163972) |
| Enumeration Date | 2020-10-23 |
| Last Update Date | 2023-08-24 |