| 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 | 2024-11-13 |