| NPI | 1659965622 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: IN 02007316A) |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: IN 02007316A) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 02007316A) | |
| Enumeration Date | 2021-02-21 |
| Last Update Date | 2026-06-29 |