| NPI | 1366511891 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01090173A) |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: MO 2008006568) |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: IN 99117402A) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2008006568) | |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2023-05-23 |