| NPI | 1902841935 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NH 16276) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01060697A) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: KY TP665) | |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2014-04-07 |