NPI | 1275093734 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0001X Radiology Radiation Oncology (Licence: PA MD483791) |
Additional Taxonomies | 2085R0001X Radiology Radiation Oncology (Licence: IL 125.075399) |
Enumeration Date | 2019-03-21 |
Last Update Date | 2024-07-26 |