| NPI | 1316902703 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IN O1057118A) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: TN 54377) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036-062684) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: KY 40301) | |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2022-03-22 |