| NPI | 1801839519 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: IL 036124984) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: WI 50194) |
| 2085R0001X Radiology, Radiation Oncology (Licence: MT MED-PHYS-LIC-51213) | |
| 2085R0001X Radiology, Radiation Oncology (Licence: NY 267358-1) | |
| 2085R0001X Radiology, Radiation Oncology (Licence: NJ 25MA0919330) | |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2020-09-13 |