| NPI | 1154392363 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01032588) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NV 12035) |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2024-07-08 |