| NPI | 1891186763 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 247100000X Radiologic Technologist (Licence: IN XT011966) |
| Additional Taxonomies | 243U00000X Radiology Practitioner Assistant (Licence: IN XT011966) |
| Enumeration Date | 2015-02-12 |
| Last Update Date | 2024-10-29 |