| NPI | 1669431367 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NM MD2016-0635) |
| Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: IN 01063267A) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 145707-1) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01063267A) | |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2022-07-21 |