| NPI | 1295858975 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: AR E-4671) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: AR E4671) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: AR E-4671) | |
| 2085R0001X Radiology, Radiation Oncology (Licence: AR E-4671) | |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2011-07-21 |