| NPI | 1952317026 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: MO 2000157004) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: IL 036109465) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036109465) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2000157004) | |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2021-10-29 |