| NPI | 1538177241 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: GA 074594) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: IL 036-104675) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2019-03-20 |