| NPI | 1427243385 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01070243A) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 82238) |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2023-08-21 |