NPI | 1487929873 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01073018A) |
Additional Taxonomies | 208D00000X General Practice (Licence: IN 01073018A) |
Enumeration Date | 2012-03-19 |
Last Update Date | 2024-04-02 |