NPI | 1184951220 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: AR E-6672) |
Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: AR E-6672) |
Enumeration Date | 2009-11-11 |
Last Update Date | 2018-12-06 |