| NPI | 1437181971 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME131485) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 247777) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2023-03-28 |