| NPI | 1801881255 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology Vascular & Interventional Radiology (Licence: IN 01052406) |
| Additional Taxonomies | 2085B0100X Radiology Body Imaging (Licence: IN 01052406) |
| 2085R0203X Radiology Therapeutic Radiology (Licence: IN 01052406) | |
| 2085U0001X Radiology Diagnostic Ultrasound (Licence: IN 01052406) | |
| Enumeration Date | 2005-09-13 |
| Last Update Date | 2021-04-06 |