| NPI | 1730176694 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology Radiation Oncology (Licence: IL 036136731) |
| Additional Taxonomies | 2085R0001X Radiology Radiation Oncology (Licence: FL ME 69802) |
| Enumeration Date | 2005-10-05 |
| Last Update Date | 2025-06-23 |