| NPI | 1457336752 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: IN 02002274A) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 02002274A) |
| Enumeration Date | 2005-12-08 |
| Last Update Date | 2020-03-11 |