| NPI | 1205891140 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: IN 01079540A) |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: GA 056268) |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: FL ME111796) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 056268) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME111796) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: MO 2023050079) | |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2024-02-07 |