| NPI | 1851508337 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: IA R-7952) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: IL 036-126674) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2017-01-24 |