| NPI | 1841587094 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: CA C170527) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: IL 125059011) |
| 2085R0001X Radiology, Radiation Oncology (Licence: ID M-12990) | |
| 2085R0001X Radiology, Radiation Oncology (Licence: WY 10732A) | |
| Enumeration Date | 2011-07-07 |
| Last Update Date | 2021-01-15 |