| NPI | 1598175531 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: IL 036148205) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: IL 125-064559) |
| Enumeration Date | 2014-04-29 |
| Last Update Date | 2021-12-27 |