| NPI | 1760988026 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: IN 01093757A) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: IN 11020598A) |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2024-07-17 |