| NPI | 1750547493 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 11014759A) |
| Additional Taxonomies | 208D00000X General Practice (Licence: IN 01067188A) |
| 2085N0904X (Licence: IN 01067188A) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: TX P6011) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: IN 01067188A) | |
| 2085R0203X Radiology, Therapeutic Radiology (Licence: IN 01067188A) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 35.156715) | |
| Enumeration Date | 2008-08-01 |
| Last Update Date | 2026-07-21 |