| NPI | 1508851338 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: IN 01025543) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: IN 01025543) |
| Enumeration Date | 2005-09-19 |
| Last Update Date | 2007-10-18 |