NPI | 1255309985 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: NY 207426-1) |
Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: NY 207426) |
Enumeration Date | 2006-03-09 |
Last Update Date | 2023-06-29 |