NPI | 1346636891 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: NY 309373) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MA11728000) |
2085R0202X Radiology, Diagnostic Radiology (Licence: NY 309373) | |
2085R0204X Radiology, Vascular & Interventional Radiology (Licence: NJ 25MA11728000) | |
Enumeration Date | 2015-04-11 |
Last Update Date | 2024-01-11 |