NPI | 1992794119 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085N0904X Radiology, Nuclear Radiology (Licence: HI MD-15027) |
Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: CA AFE112273) |
2085R0202X Radiology, Diagnostic Radiology (Licence: CA AFE112273) | |
207U00000X Nuclear Medicine (Licence: HI MD-15027) | |
Enumeration Date | 2005-10-20 |
Last Update Date | 2021-09-08 |