NPI | 1205807583 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01055124A) |
Additional Taxonomies | 208D00000X General Practice (Licence: IN 01055124A) |
Enumeration Date | 2006-01-27 |
Last Update Date | 2014-04-07 |