| NPI | 1144321811 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0700X (Licence: IN 01062529A) |
| Additional Taxonomies | 2085N0700X (Licence: NY P53261) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01062529A) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NY P53261) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: IN 01062529A) | |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2023-10-18 |