| NPI | 1750321691 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036-107175) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 99017940A) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2024-05-13 |