NPI | 1144208661 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207U00000X Nuclear Medicine (Licence: UT 328507-1204) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NE 378) |
207UN0902X Nuclear Medicine, Nuclear Imaging & Therapy (Licence: NE 378) | |
Enumeration Date | 2006-01-04 |
Last Update Date | 2023-12-19 |