| NPI | 1760441760 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: NJ 25MA05182900) |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: PA MD418485) |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: PA MD050322L) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: TN MD0000043118) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: LA MD.202013) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: MD D62353) | |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2021-01-19 |