| 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 |