| NPI | 1417984857 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MA08821600) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: MN 47642) |
| 207U00000X Nuclear Medicine (Licence: NJ 25MA08821600) | |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2020-08-27 |