| NPI | 1093972101 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 241469) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA08846800) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MA08846800) | |
| 207R00000X Internal Medicine (Licence: NY 241469) | |
| Enumeration Date | 2008-05-18 |
| Last Update Date | 2023-08-14 |