NPI | 1124013263 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: IN 1041542) |
Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: IN 01041542A) |
2085R0204X Radiology Vascular & Interventional Radiology (Licence: IN 01041542A) | |
Enumeration Date | 2005-09-14 |
Last Update Date | 2015-05-06 |