NPI | 1215319751 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 11018610A) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2015017146) |
Enumeration Date | 2015-06-21 |
Last Update Date | 2016-06-20 |