| NPI | 1639669831 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: MI 4301507894) |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: IL 036164706) |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: IN 01092409A) | |
| Enumeration Date | 2018-05-14 |
| Last Update Date | 2024-06-18 |