| NPI | 1194068676 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207U00000X Nuclear Medicine (Licence: AR E-11379) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: AR E-11379) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: TX R7389) | |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2026-01-21 |