| NPI | 1134330426 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: IL 036.129649) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: OH 57009754) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2015-08-26 |