| NPI | 1598728891 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: HI MD-16297) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: ID M9222) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: VT 042-0010901) | |
| Enumeration Date | 2006-04-08 |
| Last Update Date | 2015-06-23 |