| NPI | 1972875763 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: PA MD462891) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: IL 336102126) |
| Enumeration Date | 2012-02-08 |
| Last Update Date | 2020-08-28 |