| NPI | 1144314485 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0904X Radiology, Nuclear Radiology (Licence: MO R6C45) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: MO R6C45) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2010-08-10 |