| NPI | 1598982167 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: MO 2008006948) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA OS012782) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 02004500A) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: KY 03767) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: KS 05-32942) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2008006948) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: KY 03767) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: NJ 25MB07652800) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: PA OS012782) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: IN 02004500A) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: KS 0532942) | |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2023-09-01 |