| NPI | 1043630510 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 310343) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: VT 032-0133898) |
| Enumeration Date | 2014-04-23 |
| Last Update Date | 2022-06-08 |