| NPI | 1396907952 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: CO DR.0058304) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 11014479A) |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: IN 11014479a) | |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2024-07-29 |