| NPI | 1700236635 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: IL 036155310) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: MI 4301110504) |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2021-12-24 |