| NPI | 1386831030 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: IL 036.125468) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: CA A96538) |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2010-07-22 |