| NPI | 1346211331 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01081766A) |
| Additional Taxonomies | 2085P0229X Radiology, Pediatric Radiology (Licence: IN 01081766A) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: DC MD045834) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NE 23410) | |
| 208D00000X General Practice (Licence: NE 23410) | |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2023-05-15 |