| NPI | 1083605067 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: WI 82715) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: IL 036110269) |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2024-11-11 |