| NPI | 1649292681 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01058881A) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: MT 9827) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2010-11-17 |