NPI | 1780679225 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: IN 01036966) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01036966) |
Enumeration Date | 2005-09-12 |
Last Update Date | 2017-12-06 |