| NPI | 1255774683 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: IN 01090475A) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01090475A) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: NC 2018-02838) | |
| Enumeration Date | 2013-04-16 |
| Last Update Date | 2023-12-04 |