| NPI | 1972505741 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0904X Radiology Nuclear Radiology (Licence: IL 036066629) |
| Additional Taxonomies | 2085N0904X Radiology Nuclear Radiology (Licence: PA MD460701) |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2023-09-22 |