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 |