| NPI | 1144462896 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology Vascular & Interventional Radiology (Licence: TN 43597) |
| Additional Taxonomies | 2085R0204X Radiology Vascular & Interventional Radiology (Licence: MS 20685) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: AR E-10373) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: MS 20685) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: TN 43597) | |
| 2085R0204X Radiology Vascular & Interventional Radiology (Licence: AR E-10373) | |
| Enumeration Date | 2009-03-26 |
| Last Update Date | 2024-09-03 |