| NPI | 1295991081 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: IN 01068029A) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2023032999) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036164494) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01068029A) | |
| Enumeration Date | 2008-08-01 |
| Last Update Date | 2024-02-12 |