| NPI | 1598735342 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: HI MD-8516) |
| Additional Taxonomies | 2085N0700X Radiology Neuroradiology (Licence: HI MD-8516) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: UT 335695-1205) | |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2021-05-10 |