NPI | 1164641791 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: IL 036-125259) |
Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: MI 4301086154) |
Enumeration Date | 2007-04-24 |
Last Update Date | 2011-02-24 |