| NPI | 1952939704 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD488888) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: PA MD488888) |
| 207U00000X Nuclear Medicine (Licence: NJ 25MA12675000) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MA12675000) | |
| Enumeration Date | 2020-03-28 |
| Last Update Date | 2025-07-22 |