| NPI | 1629237409 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: IL 036138538) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: MO 2009008692) |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2020-07-01 |