NPI | 1437154028 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: IN 01042295A) |
Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: ID M-17162) |
2085R0204X Radiology, Vascular & Interventional Radiology (Licence: VA 0101046026) | |
Enumeration Date | 2005-06-20 |
Last Update Date | 2023-06-05 |