| NPI | 1700263514 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: IL 036161830) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: IL 125.070841) |
| Enumeration Date | 2015-04-30 |
| Last Update Date | 2022-11-14 |