| NPI | 1659534964 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MA12015700) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: MD D0103328) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D0103328) | |
| Enumeration Date | 2008-07-07 |
| Last Update Date | 2025-04-21 |