| NPI | 1942237359 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: NY 263368) |
| Additional Taxonomies | 174400000X Specialist (Licence: IL 036-088056) |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2015-02-11 |