| NPI | 1770070609 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: CA A187126) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: IL 125.073886) |
| Enumeration Date | 2018-04-17 |
| Last Update Date | 2023-11-20 |