| NPI | 1407382526 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology Radiation Oncology (Licence: IL 036158845) |
| Additional Taxonomies | 2085R0001X Radiology Radiation Oncology (Licence: IN 01091271A) |
| Enumeration Date | 2017-05-10 |
| Last Update Date | 2025-07-09 |