| NPI | 1275799835 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology Vascular & Interventional Radiology (Licence: IN 01070998A) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: IL 125052248) |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2021-01-27 |