| NPI | 1417189549 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: IN 01089216A) |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: FL ME139489) |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: IL 036130514) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 71181-20) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036130514) | |
| Enumeration Date | 2009-08-24 |
| Last Update Date | 2026-05-20 |