NPI | 1831583939 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MB11083500) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: ND 22091) |
Enumeration Date | 2015-03-26 |
Last Update Date | 2025-06-27 |