NPI | 1841492873 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: NJ MA08627900) |
Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: RI LP01129) |
Enumeration Date | 2007-06-01 |
Last Update Date | 2020-02-11 |