| NPI | 1376758524 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01069197A) |
| Additional Taxonomies | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: IN 01069197A) |
| 2085N0904X Radiology, Nuclear Radiology (Licence: MI 4301089258) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: LA MD026741) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301089258) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 35.122017) | |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2021-12-09 |