| NPI | 1881675510 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01086327A) |
| Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: CA A98422) |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2021-12-02 |