| NPI | 1134274707 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207U00000X Nuclear Medicine (Licence: PA MD048243L) |
| Additional Taxonomies | 207UN0902X Nuclear Medicine, Nuclear Imaging & Therapy (Licence: PA MD048243L) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD048243L) | |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2019-04-22 |