NPI | 1033641568 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085N0904X Radiology, Nuclear Radiology (Licence: CA A163841) |
Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: CA A163841) |
207UN0902X Nuclear Medicine, Nuclear Imaging & Therapy (Licence: CA A163841) | |
2085R0202X Radiology, Diagnostic Radiology (Licence: CA A163841) | |
Enumeration Date | 2017-04-03 |
Last Update Date | 2024-04-09 |