NPI | 1285878728 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: TX Q4581) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX Q4581) |
2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01073728A) | |
2085R0202X Radiology, Diagnostic Radiology (Licence: WI 54736-20) | |
2085R0204X Radiology, Vascular & Interventional Radiology (Licence: IN 01073728A) | |
2085R0204X Radiology, Vascular & Interventional Radiology (Licence: WI 54736-20) | |
2085R0204X Radiology, Vascular & Interventional Radiology (Licence: OR MD179412) | |
Enumeration Date | 2009-04-28 |
Last Update Date | 2022-01-25 |