| NPI | 1043298334 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: IL 036.126216) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: TX M2918) |
| Enumeration Date | 2006-01-06 |
| Last Update Date | 2020-09-02 |