| NPI | 1982797122 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0700X Radiology, Neuroradiology (Licence: CT 61982) |
| Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: IN 01090920A) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01090920A) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 231315) | |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2023-08-23 |