| NPI | 1205396686 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01097473A) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: ME MD29476) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NH 38573) | |
| Enumeration Date | 2019-03-22 |
| Last Update Date | 2025-12-04 |