| NPI | 1306264023 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01089176A) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D88654) |
| Enumeration Date | 2014-03-31 |
| Last Update Date | 2023-06-12 |