| NPI | 1053846857 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TN 4643) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MS 26319) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: AR E-13773) | |
| Enumeration Date | 2017-04-29 |
| Last Update Date | 2023-06-19 |