| NPI | 1043518186 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: TX T8019) |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: IN 01074777B) |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: IN 01074777A) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 0107477A) | |
| Enumeration Date | 2011-03-13 |
| Last Update Date | 2022-08-15 |