| NPI | 1427282524 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MA08580500) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MT184360) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD436358) | |
| Enumeration Date | 2009-05-05 |
| Last Update Date | 2014-07-14 |