| NPI | 1033186341 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: AZ 32394) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 128058) |
| 207U00000X Nuclear Medicine (Licence: AZ 32394) | |
| 207U00000X Nuclear Medicine (Licence: NY 128058) | |
| Enumeration Date | 2006-03-06 |
| Last Update Date | 2015-01-27 |