| NPI | 1134398365 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: HI MD15618) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: MA 234771) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: CO 53456) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: NE 27766) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: KS 04-37111) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: TN 54275) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: TX R1162) | |
| Enumeration Date | 2008-02-21 |
| Last Update Date | 2022-12-07 |