| NPI | 1902426224 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: ME MD28951) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NH 34197) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01095438A) | |
| Enumeration Date | 2020-04-17 |
| Last Update Date | 2026-06-10 |