| NPI | 1881748697 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: IN 01036134) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: GA 43377) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2023-04-26 |