| NPI | 1174905632 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01087994A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301108185) |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2022-08-03 |