| NPI | 1093982589 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01069475A) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 135136) |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2011-07-21 |