| NPI | 1477593846 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology Vascular & Interventional Radiology (Licence: IN 01053571A) |
| Additional Taxonomies | 2085P0229X Radiology Pediatric Radiology (Licence: IN 01053571A) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: IN 01053571A) | |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2023-12-02 |