| NPI | 1093911653 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: HI MD-17055) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: HI MDR-5242) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A104952) | |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2021-05-21 |