NPI | 1265518260 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MA06385400) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 194125-1) |
Enumeration Date | 2006-10-31 |
Last Update Date | 2014-02-07 |