| NPI | 1255789228 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: IN 01087834A) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 11019445A) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207R00000X Internal Medicine (Licence: OH 57.028729) | |
| Enumeration Date | 2016-05-31 |
| Last Update Date | 2024-01-19 |