| NPI | 1528293891 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: IN 01078482A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD446994) |
| Enumeration Date | 2009-05-15 |
| Last Update Date | 2022-04-21 |