| NPI | 1447719315 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01097756A) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: LA 338527) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2026-02-18 |