| NPI | 1437154028 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology Vascular & Interventional Radiology (Licence: IN 01042295A) |
| Additional Taxonomies | 2085N0700X Radiology Neuroradiology (Licence: ID M-17162) |
| 2085R0204X Radiology Vascular & Interventional Radiology (Licence: VA 0101046026) | |
| Enumeration Date | 2005-06-20 |
| Last Update Date | 2023-06-05 |