| NPI | 1437119997 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: NC 2021-02075) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: IL 036102870) |
| 2081H0002X Physical Medicine & Rehabilitation, Hospice and Palliative Medicine (Licence: MO 2020024355) | |
| 2085R0001X Radiology, Radiation Oncology (Licence: IL 036102870) | |
| 2085R0001X Radiology, Radiation Oncology (Licence: SC 90760) | |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2024-03-12 |