| NPI | 1427020346 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MB06482800) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: NJ 25MB06482800) |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2008-09-18 |