| NPI | 1972541407 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085U0001X Radiology, Diagnostic Ultrasound (Licence: IN 02002342A) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 02002342) |
| 2085P0229X Radiology, Pediatric Radiology (Licence: IN 02002342A) | |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2021-02-04 |