| NPI | 1558315697 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: IN 01045256A) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01045256A) |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2013-07-17 |