NPI | 1093708919 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085N0904X Radiology, Nuclear Radiology (Licence: NY 142577-01) |
Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: NJ 25MA05032106) |
207U00000X Nuclear Medicine (Licence: NY 142577-01) | |
2085N0904X Radiology, Nuclear Radiology (Licence: NJ 25MA05032106) | |
2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MA05032106) | |
2085R0202X Radiology, Diagnostic Radiology (Licence: NY 142577-01) | |
Enumeration Date | 2005-08-25 |
Last Update Date | 2022-10-19 |