| NPI | 1013370295 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: NY 309314) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: IL 125.069772) |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2021-07-02 |