| NPI | 1144757139 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: HI DOS-1943) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NH 38869) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: ME DO4245) | |
| Enumeration Date | 2017-05-22 |
| Last Update Date | 2026-05-28 |