| NPI | 1497978530 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: PA MD440774) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: IL 036113450) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2015-09-02 |