| NPI | 1831538032 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01084386A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT203502) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MT203502) | |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2020-12-21 |