| NPI | 1316181662 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: TN 48542) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: TN 48542) |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: GA 78763) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: AR E-7681) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MS 29406) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: AR E-7681) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: MS 29406) | |
| Enumeration Date | 2009-04-29 |
| Last Update Date | 2024-09-03 |