| NPI | 1790776755 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: TN 57231) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: IL 036102262) |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2018-06-26 |