NPI | 1407828775 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 132532) |
Additional Taxonomies | 2085U0001X Radiology, Diagnostic Ultrasound (Licence: NY 132532) |
Enumeration Date | 2006-02-02 |
Last Update Date | 2008-08-08 |