| NPI | 1902870033 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01063734A) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101236170) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 35 125043) | |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2016-01-28 |