| NPI | 1841252848 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IA 36659) |
| Additional Taxonomies | 208D00000X General Practice (Licence: IN 01056903A) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036.127139) | |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2013-02-15 |