| NPI | 1285991430 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: CA A150048) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: IL 125062527) |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2017-07-14 |