| NPI | 1427098979 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: IN 01041195A) |
| Additional Taxonomies | 2085N0904X Radiology Nuclear Radiology (Licence: IN 01041195A) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: WI 45535020) | |
| 2085R0202X Radiology Diagnostic Radiology | |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2007-11-30 |