| NPI | 1952306219 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: IN 01077206A) |
| Additional Taxonomies | 2085R0203X Radiology, Therapeutic Radiology (Licence: IN 01077206A) |
| 2085R0001X Radiology, Radiation Oncology (Licence: NM 86-165) | |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2021-01-25 |