| NPI | 1578769188 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: IN 01074371A) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 234322) |
| 2085D0003X Radiology, Diagnostic Neuroimaging (Licence: NY 234322) | |
| 2085N0700X (Licence: ID M-17233) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 234322) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: NY 234322) | |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2023-05-30 |