| NPI | 1730684382 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: ME MD2762) |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: NH 25339) |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2024-06-25 |