| NPI | 1790748119 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology Radiation Oncology (Licence: IL 036-078735) |
| Additional Taxonomies | 207RX0202X Internal Medicine Medical Oncology (Licence: IL 036078735) |
| Enumeration Date | 2006-04-07 |
| Last Update Date | 2015-07-01 |