| NPI | 1386006419 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NH 21161) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MA12684400) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A179929) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: AZ 66734) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: VT 042.0015150) | |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2025-08-20 |