| NPI | 1841229218 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: TN 18178) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: AR E0794) |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: MS 15497) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: AR E0794) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: TN 18178) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MS 15497) | |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2019-04-03 |