| NPI | 1194981712 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01072515A) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 125-054108) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036.129482) | |
| Enumeration Date | 2008-08-03 |
| Last Update Date | 2023-12-12 |