NPI | 1487018768 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: AR E-13553) |
Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: AR E-13553) |
Enumeration Date | 2016-04-12 |
Last Update Date | 2024-03-11 |