| NPI | 1528228228 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: IN 01073700A) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: NH 15585) |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2016-08-04 |