| NPI | 1043287311 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: NY 324756) |
| Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: FL ME95283) |
| 2085N0904X Radiology, Nuclear Radiology (Licence: CO DR.0061266) | |
| 2085P0229X Radiology, Pediatric Radiology (Licence: CO DR.0061266) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 324756) | |
| 2085P0229X Radiology, Pediatric Radiology (Licence: FL ME95283) | |
| Enumeration Date | 2006-03-04 |
| Last Update Date | 2023-08-24 |