| NPI | 1063499267 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CO DR.0068264) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01051128A) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01051128A) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CA C142217) | |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2024-09-04 |