NPI | 1790786846 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: FL ME118833) |
Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: IL 036104478) |
Enumeration Date | 2005-08-10 |
Last Update Date | 2014-02-28 |