| NPI | 1174722649 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036130090) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01073035A) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 99057727A) | |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2020-12-24 |