| NPI | 1770591893 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0203X Radiology, Therapeutic Radiology (Licence: IN 01032449A) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: IN 01032449A) |
| 2085R0203X Radiology, Therapeutic Radiology (Licence: IL 03656186) | |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2022-08-30 |