NPI | 1083608392 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01032750A) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 1032750) |
2085R0204X Radiology, Vascular & Interventional Radiology (Licence: IN 01032750A) | |
Enumeration Date | 2005-09-01 |
Last Update Date | 2015-05-06 |