| NPI | 1528016532 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 99025381A) |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2019-05-29 |