| NPI | 1134233950 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0001X (Licence: IL 036066206) |
| Additional Taxonomies | 261QX0203X Clinic/Center, Oncology, Radiation (Licence: IL 036066206) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2024-05-15 |