| NPI | 1982850657 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207U00000X Nuclear Medicine (Licence: TX R1575) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: IL 336090464) |
| Enumeration Date | 2008-08-14 |
| Last Update Date | 2022-07-21 |