| NPI | 1780786392 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085D0003X Radiology, Diagnostic Neuroimaging (Licence: CA A113267) |
| Additional Taxonomies | 208D00000X General Practice (Licence: IN 01062408A) |
| 2085N0700X (Licence: CA A113267) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A113267) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: HI MD-17925) | |
| Enumeration Date | 2006-09-03 |
| Last Update Date | 2024-04-08 |