| NPI | 1548580905 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01076672A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 11015392A) |
| Enumeration Date | 2010-06-08 |
| Last Update Date | 2023-07-18 |