| NPI | 1568604916 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: IA 40849) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: IL 036132512) |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2022-02-10 |