| NPI | 1659307353 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 174624) |
| Additional Taxonomies | 207UN0902X Nuclear Medicine, Nuclear Imaging & Therapy (Licence: NJ 25MA05953500) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MA05953500) | |
| 207UN0902X Nuclear Medicine, Nuclear Imaging & Therapy (Licence: PA MD442638) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD442638) | |
| 207UN0902X Nuclear Medicine, Nuclear Imaging & Therapy (Licence: NY 174624) | |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2011-11-29 |