| NPI | 1245496025 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: IN 01067843A) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: IL 125048906) |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2023-01-03 |