NPI | 1447321476 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MA04475500) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 167048) |
Enumeration Date | 2006-11-13 |
Last Update Date | 2008-01-18 |