| NPI | 1487840872 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01074532A) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: HI 11631) |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2024-09-19 |