| NPI | 1285606590 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: IN 01077318A) |
| Additional Taxonomies | 174400000X Specialist (Licence: IL 036100134) |
| 174400000X Specialist (Licence: MO 114102) | |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2023-06-01 |