| NPI | 1538423843 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 02005301A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 12506233) |
| Enumeration Date | 2012-07-02 |
| Last Update Date | 2018-09-28 |