NPI | 1932129756 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01051207a) |
Additional Taxonomies | 208D00000X General Practice (Licence: IN 01051207a) |
Enumeration Date | 2006-07-21 |
Last Update Date | 2015-05-14 |