NPI | 1760477921 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: IN 01045252A) |
Additional Taxonomies | 2085N0904X Radiology Nuclear Radiology (Licence: IN 01045252A) |
Enumeration Date | 2005-09-14 |
Last Update Date | 2016-12-13 |