| NPI | 1134122310 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0904X Radiology, Nuclear Radiology (Licence: TN MD15965) |
| Additional Taxonomies | 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: TN 15965) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: TN 15965) | |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2023-08-04 |