| NPI | 1255366340 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ MB021042) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: NJ MB021042) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2020-07-06 |