| NPI | 1134355662 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 79952) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01068877A) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: ND 22566) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 13698-320) | |
| Enumeration Date | 2009-06-10 |
| Last Update Date | 2025-12-31 |