| NPI | 1629699772 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01095404A) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: ME MD28950) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NH 34242) | |
| Enumeration Date | 2020-04-29 |
| Last Update Date | 2025-11-07 |