| NPI | 1922394402 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: WI 84178-20) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: IL 036-141551) |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2024-07-31 |