NPI | 1699984682 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 243694) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ FD3530020) |
Enumeration Date | 2007-05-22 |
Last Update Date | 2016-03-24 |