| NPI | 1457338329 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: TX P0694) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: IL 36106351) |
| Enumeration Date | 2005-12-30 |
| Last Update Date | 2013-08-13 |