| NPI | 1427013796 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01073672A) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NE 21622) |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: NE 21622) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: FL ME65324) | |
| 208D00000X General Practice (Licence: IN 01073672A) | |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2016-02-29 |