| NPI | 1780037382 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: TN 65232) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: AR E-15218) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: AL 36498) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MS 30158) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: TN 65232) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: AR E-15218) | |
| Enumeration Date | 2016-07-19 |
| Last Update Date | 2024-09-03 |