| NPI | 1821254731 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: IL 036123178) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: IL 125051665) |
| Enumeration Date | 2008-07-30 |
| Last Update Date | 2013-08-07 |