NPI | 1245473594 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01081918A) |
Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: CA A149667) |
2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MA09489900) | |
2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD458825) | |
Enumeration Date | 2009-04-16 |
Last Update Date | 2023-08-04 |