| NPI | 1982866232 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: IN 01069551A) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: IN 11014028A) |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2012-08-15 |