| NPI | 1689818718 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 332606) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MT194483) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A123984) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 258251) | |
| Enumeration Date | 2009-04-20 |
| Last Update Date | 2024-09-07 |