| NPI | 1083943260 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MA12551800) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 255325-1) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: DC MD037931) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A116262) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D0102918) | |
| Enumeration Date | 2009-12-16 |
| Last Update Date | 2026-03-13 |