| NPI | 1184716599 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TN MD09104) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: TN MD09104) |
| Enumeration Date | 2006-09-30 |
| Last Update Date | 2013-12-04 |