| NPI | 1669767729 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: MT MED-PHYS-LIC-87558) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: IN 01075286A) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: IN 11016076A) | |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2024-09-06 |