| NPI | 1164817680 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207U00000X Nuclear Medicine (Licence: GA 84780) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 84780) |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: GA 84780) | |
| 207UN0902X Nuclear Medicine, Nuclear Imaging & Therapy (Licence: GA 84780) | |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2024-06-03 |