| NPI | 1407817513 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology Vascular & Interventional Radiology (Licence: IN 01052522A) |
| Additional Taxonomies | 2085R0204X Radiology Vascular & Interventional Radiology (Licence: IL 336064512) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: IN 01052522A) | |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2007-11-13 |