| NPI | 1598028771 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: IN 01073031A) |
| Additional Taxonomies | 208D00000X General Practice (Licence: IN 01073031A) |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2021-07-19 |