| NPI | 1699727313 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 35076942R) |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: MT 131544) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: HI MD-24414) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01072919A) | |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2026-03-29 |