| NPI | 1841435468 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 238392) |
| Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: NY 238392) |
| Enumeration Date | 2008-12-10 |
| Last Update Date | 2024-01-03 |