| NPI | 1346265170 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: SC MD23906) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01043468A) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 2014-02490) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: NC 2014-02490) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: IN 01043468A) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: SC MD23906) | |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2015-04-20 |