| NPI | 1053576926 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: WI 53656-20) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: IL 036.132395) |
| Enumeration Date | 2008-07-21 |
| Last Update Date | 2020-12-07 |