| NPI | 1891723391 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: NC 2010-01068) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: IL 36114790) |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2011-01-18 |