| NPI | 1578820585 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01082033A) |
| Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: PA MD464361) |
| Enumeration Date | 2012-04-13 |
| Last Update Date | 2021-02-18 |