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 |