NPI | 1649512054 |
---|---|
Former Name | ANJAN PRABHUSWAMY |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A134629) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101287045) |
2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME161368) | |
Enumeration Date | 2013-03-24 |
Last Update Date | 2025-09-24 |