| NPI | 1316066905 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: HI MD-16470) |
| Additional Taxonomies | 2085N0904X Radiology Nuclear Radiology (Licence: HI MD-16470) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2012-03-06 |