| NPI | 1518286517 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01072638A) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: ME MD20961) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NH 17471) | |
| Enumeration Date | 2010-05-31 |
| Last Update Date | 2021-02-01 |