| NPI | 1861469132 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: IL 036103808) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: FL ME95204) |
| Enumeration Date | 2006-03-04 |
| Last Update Date | 2023-03-07 |