| NPI | 1932213204 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: FL OS18237) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 36113813) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 02003492A) | |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2022-09-27 |