| NPI | 1093780777 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0700X Radiology, Neuroradiology (Licence: NJ 25MA06841000) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25ma068410000) |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2016-11-23 |