| NPI | 1790976918 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: IL 036126040) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01063683) |
| 2085B0100X Radiology Body Imaging (Licence: IN 01063683) | |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2025-07-02 |