NPI | 1609284660 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A138112) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01083380A) |
Enumeration Date | 2014-07-23 |
Last Update Date | 2023-03-07 |