NPI | 1184770992 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01062509A) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME159272) |
208D00000X General Practice (Licence: IN 01062509A) | |
Enumeration Date | 2007-01-25 |
Last Update Date | 2024-06-04 |