| NPI | 1184840290 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology Vascular & Interventional Radiology (Licence: IN 01085019A) |
| Additional Taxonomies | 2085R0204X Radiology Vascular & Interventional Radiology (Licence: IL 036108596) |
| 2085R0204X Radiology Vascular & Interventional Radiology (Licence: IL 36108596) | |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2024-06-20 |