| NPI | 1669664033 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TN 57629) |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: AR E-10787) |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: TN 57629) | |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2022-10-31 |