| NPI | 1992794119 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0904X Radiology Nuclear Radiology (Licence: HI MD-15027) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: HI MD-15027) |
| 207U00000X Nuclear Medicine (Licence: CA AFE112273) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: CA AFE112273) | |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2021-09-08 |