| NPI | 1215986237 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME37355) |
| Additional Taxonomies | 2085N0904X Radiology, Nuclear Radiology (Licence: FL 37355) |
| 207RM1200X Internal Medicine, Magnetic Resonance Imaging (MRI) (Licence: FL 37355) | |
| 207U00000X Nuclear Medicine (Licence: FL 37355) | |
| 207UN0902X Nuclear Medicine, Nuclear Imaging & Therapy (Licence: FL ME37355) | |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2016-02-24 |