| NPI | 1114135100 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: IN 01064197A) |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: VA 0101236133) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01064197A) | |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2014-10-23 |