| NPI | 1891085940 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: HI MD-21163) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 303720) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: OR MD225139) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: WA MD60742756) | |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2025-11-25 |