| NPI | 1942596853 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01083186A) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301098908) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CA 141756) | |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2021-02-03 |