NPI | 1487636569 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01079663A) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: KY 34489) |
Enumeration Date | 2005-11-15 |
Last Update Date | 2022-01-27 |