| NPI | 1346246501 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0700X Radiology Neuroradiology (Licence: ID M-16869) |
| Additional Taxonomies | 2085N0700X Radiology Neuroradiology (Licence: IN 01030263) |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2022-10-25 |