NPI | 1699745315 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MA07881600) |
Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: NY 211-469) |
Enumeration Date | 2006-01-25 |
Last Update Date | 2018-03-12 |