| NPI | 1275547432 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: NY 224998) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: IL 036-159215) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2022-11-16 |