NPI | 1831192285 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: TN 37222) |
Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: MS 17708) |
2085R0202X Radiology, Diagnostic Radiology (Licence: TN 37222) | |
Enumeration Date | 2005-05-31 |
Last Update Date | 2023-12-05 |