| NPI | 1407817513 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: IN 01052522A) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036100656) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01052522A) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: IL 036100656) | |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2025-01-15 |