| NPI | 1598861650 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01062572A) |
| Additional Taxonomies | 208D00000X General Practice (Licence: IN 01062572A) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2023-10-02 |