| NPI | 1225079759 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TN 47198) |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: TN 47198) |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: MS 13515) | |
| 207P00000X Emergency Medicine (Licence: MS 13515) | |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2024-04-23 |