| NPI | 1629233986 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01068361A) |
| Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: IN 01068361A) |
| 2085N0700X (Licence: IN 01068361A) | |
| Enumeration Date | 2008-07-25 |
| Last Update Date | 2015-01-21 |