| NPI | 1831534395 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: NH 20484) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NH 20484) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NH 20484) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-05-09 |
| Last Update Date | 2023-02-01 |