| NPI | 1326459314 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01083355A) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301106862) |
| 207U00000X Nuclear Medicine (Licence: MI 4301106862) | |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2020-12-29 |