| NPI | 1326204850 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01069738) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036112829) |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2013-05-16 |