NPI | 1821036575 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085N0700X Radiology, Neuroradiology (Licence: IN 01050724) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01050724) |
2085R0204X Radiology, Vascular & Interventional Radiology (Licence: IN 01050724) | |
Enumeration Date | 2006-06-03 |
Last Update Date | 2014-11-24 |