| NPI | 1831693308 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01089671A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.071862) |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2023-08-17 |