| NPI | 1821198029 |
|---|---|
| Former Name | WITIYA MICHAEL SATASIRI |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: TN MD0000037469) |
| Additional Taxonomies | 174400000X Specialist (Licence: TN MD0000037469) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2023-01-04 |