| NPI | 1932175155 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: CO 044474) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: IL 036-112765) |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2010-12-02 |