| NPI | 1518384916 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: OH 35141845) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: IL 036149185) |
| Enumeration Date | 2014-03-24 |
| Last Update Date | 2021-05-18 |