| NPI | 1700992294 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology Radiation Oncology (Licence: MO 102187) |
| Additional Taxonomies | 2085R0001X Radiology Radiation Oncology (Licence: IL 036095208) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2021-06-21 |