| NPI | 1093069528 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: IL 036143812) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: IA 44416) |
| Enumeration Date | 2012-11-06 |
| Last Update Date | 2018-03-17 |