NPI | 1477591931 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085P0229X Radiology Pediatric Radiology (Licence: IN 01031346) |
Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: IN 01031346) |
Enumeration Date | 2006-06-04 |
Last Update Date | 2011-02-15 |