| NPI | 1578503181 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NH 17812) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MA11074000) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: RI MD13409) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CT 023347) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 235221) | |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2024-12-13 |