| NPI | 1609187186 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: IN 01079454A) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 125058023) |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: MD D0102426) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: TN 75608) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IA MD-54200) | |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2026-01-30 |