| NPI | 1932377090 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: IN 01069498A) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2010026612) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01069498A) | |
| Enumeration Date | 2008-02-12 |
| Last Update Date | 2011-09-26 |