| NPI | 1164449146 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207U00000X Nuclear Medicine (Licence: GA 042877) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD d0063572) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 042877) | |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2019-05-03 |