| NPI | 1285652164 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MA07393400) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: NJ 25MA07393400) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2014-04-25 |