| NPI | 1083933170 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0904X Radiology, Nuclear Radiology (Licence: PA MT232040) |
| Additional Taxonomies | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: WI 61964) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 61964-20) | |
| Enumeration Date | 2010-05-28 |
| Last Update Date | 2024-11-28 |