| NPI | 1013927243 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01056344A)  | 
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036139022)  | 
| Enumeration Date | 2006-08-09 | 
| Last Update Date | 2022-03-02 |