NPI | 1770745846 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25IA12796000) |
Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: OR MD29288) |
2085R0202X Radiology, Diagnostic Radiology (Licence: MD D0103683) | |
2085R0202X Radiology, Diagnostic Radiology (Licence: OR MD29288) | |
2085U0001X Radiology, Diagnostic Ultrasound (Licence: OR MD29288) | |
Enumeration Date | 2008-06-30 |
Last Update Date | 2025-08-20 |