| NPI | 1457434839 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: IN 01069130) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: MD D0066755) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2021-02-18 |