| NPI | 1245473594 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01081918A) |
| Additional Taxonomies | 2085N0700X (Licence: CA A149667) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MA09489900) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD458825) | |
| Enumeration Date | 2009-04-16 |
| Last Update Date | 2023-08-04 |