| NPI | 1255315032 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: IN 01089579A) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD046702L) |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: NH EL08865) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: PA MD046702L) | |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2023-03-03 |