| NPI | 1700873015 |
|---|---|
| Former Name | AMARESHA MUNIYAPPA |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX T3734) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 200601337) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101278390) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: SC 89332) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: NC 200601337) | |
| Enumeration Date | 2005-10-03 |
| Last Update Date | 2023-12-14 |