| NPI | 1043270010 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: IN 01055873A) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: WI 42970) |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2013-03-20 |