| NPI | 1063630093 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: TN 42710) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MS 19865) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: TN 042710) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: AR E-5336) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: MS 19865) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: AR E-5336) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: SC 32039) | |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2018-01-30 |