| NPI | 1669447504 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: IL 036136811) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: MO 2014006591) |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2017-02-20 |