| NPI | 1902078686 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0700X Radiology, Neuroradiology (Licence: TX R8033) |
| Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: IN 01062163A) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01062163A) | |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2018-07-12 |