| NPI | 1467984054 |
|---|---|
| Former Name | BRIAN XAVIER KOOTTAPPILLIL |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 35.141929) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 125.072896) |
| Enumeration Date | 2017-04-01 |
| Last Update Date | 2022-07-13 |