| NPI | 1497742860 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: IN 01068054A) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: IL 036085244) |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2011-11-04 |