| NPI | 1902897085 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01084338A) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: KY 56325) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: HI 13981) | |
| Enumeration Date | 2005-10-29 |
| Last Update Date | 2024-03-01 |