| NPI | 1104904812 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: IN 01066925A) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: SC 28090) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: SC 28090) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: MO 2008012506) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2022-05-31 |