NPI | 1427016849 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 160330) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD462494) |
2085R0202X Radiology, Diagnostic Radiology (Licence: CT 027875) | |
2085R0204X Radiology, Vascular & Interventional Radiology (Licence: CT 027875) | |
208D00000X General Practice (Licence: CT 027875) | |
Enumeration Date | 2006-05-03 |
Last Update Date | 2023-07-03 |