| NPI | 1417248170 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: WI 73476) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: IL 036140852) |
| Enumeration Date | 2011-04-28 |
| Last Update Date | 2021-01-29 |