NPI | 1205299054 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085N0904X Radiology Nuclear Radiology (Licence: CA A151027) |
Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: CA A151027) |
207UN0902X Nuclear Medicine Nuclear Imaging & Therapy (Licence: CA A151027) | |
2085R0202X Radiology Diagnostic Radiology (Licence: CA A151027) | |
Enumeration Date | 2016-03-30 |
Last Update Date | 2024-04-07 |