NPI | 1124375274 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0001X Radiology Radiation Oncology (Licence: IL 036142638) |
Additional Taxonomies | 2085R0001X Radiology Radiation Oncology (Licence: IL 125061878) |
Enumeration Date | 2012-08-08 |
Last Update Date | 2021-04-01 |