| NPI | 1679869010 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01081587A) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MT200989) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: SC LL-33617) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD457559) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: AL MD.35167) | |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2019-01-24 |