| NPI | 1457846750 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: IN 01093791A) |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: MI 4301116083) |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: IL 125.073470) | |
| Enumeration Date | 2018-06-28 |
| Last Update Date | 2024-06-26 |