| NPI | 1326075342 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01091583A) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01091583A) |
| 2085N0700X (Licence: WA MD 00047959) | |
| 2085N0700X (Licence: NY 225479) | |
| 2085N0700X (Licence: IN 01091583A) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 069366) | |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2025-07-11 |