NPI | 1255696696 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: FL ME133523) |
Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: IL DEA#C7875/AU3890402) |
Enumeration Date | 2012-07-11 |
Last Update Date | 2020-11-04 |