NPI | 1326075342 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 069366) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01091583A) |
2085N0700X Radiology, Neuroradiology (Licence: WA MD 00047959) | |
2085N0700X Radiology, Neuroradiology (Licence: NY 225479) | |
2085N0700X Radiology, Neuroradiology (Licence: IN 01091583A) | |
2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01091583A) | |
Enumeration Date | 2006-06-26 |
Last Update Date | 2023-09-18 |