NPI | 1043522311 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TN 52466) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MS T-2329) |
Enumeration Date | 2010-07-02 |
Last Update Date | 2021-03-03 |