| NPI | 1083146096 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: PA MD468892) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: PA MD468892) |
| 207U00000X Nuclear Medicine (Licence: NJ 25MA11742600) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: NJ 25MA11742600) | |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2024-02-28 |