| NPI | 1568415065 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology Radiation Oncology (Licence: IL 036130491) |
| Additional Taxonomies | 2085R0001X Radiology Radiation Oncology (Licence: MD D64570) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2021-12-24 |