| NPI | 1326250234 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 02004974A) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 125-049385) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2010006706) | |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2023-01-23 |