| NPI | 1396728226 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: HI MD-10472) |
| Additional Taxonomies | 2085N0904X (Licence: HI MD-10472) |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2025-06-25 |