| NPI | 1427068709 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NH 12329) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 228700-1) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2017-11-16 |