| NPI | 1548216195 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: IL 036142602) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: PA MD438611) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2020-08-07 |