| NPI | 1043833569 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01086169A) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: UT 14187814-1205) |
| Enumeration Date | 2020-05-19 |
| Last Update Date | 2025-09-23 |