| NPI | 1538284153 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01064785A) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: KY R1044) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 35.091145) | |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2016-06-20 |