| NPI | 1376500579 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207U00000X Nuclear Medicine (Licence: IN 01055856A) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01055856a) |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2019-03-14 |