| NPI | 1710143565 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: AR E-11339) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD440325) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: AR E-11339) | |
| 207R00000X Internal Medicine (Licence: IL 036131256) | |
| 208M00000X Hospitalist (Licence: IL 036131256) | |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2023-11-27 |