| NPI | 1932316429 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01070961A) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 304480) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2020-05-21 |