| NPI | 1366899841 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: IL 036156598) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: MO 2021019467) |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2024-08-19 |