| NPI | 1336174598 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01043985) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: WA MD60447306) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 1876) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: TN 51163) | |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2021-03-05 |