| NPI | 1306008610 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085N0700X Radiology, Neuroradiology (Licence: IN 01085242A) |
| Additional Taxonomies | 2085D0003X Radiology, Diagnostic Neuroimaging (Licence: IN 11014539A) |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2021-02-18 |