| NPI | 1831352814 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0700X Radiology, Neuroradiology (Licence: IN 01071020A) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 11014055A) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01071020A) | |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2021-09-09 |