NPI | 1588870042 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ N A) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 256930) |
Enumeration Date | 2007-05-14 |
Last Update Date | 2023-06-28 |