| NPI | 1316106131 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: UT 9282119-1205) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 11013885A) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: AZ 41926) | |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2023-11-27 |