| NPI | 1770521445 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: IN 01056204A) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01056204) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 69312) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: IN 01056204) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: IL 036118865) | |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2024-04-03 |