| NPI | 1275160426 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 81925) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 82182-21) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 02008369A) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: ND 24009) | |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2026-07-07 |