NPI | 1225298581 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085N0904X Radiology, Nuclear Radiology (Licence: CA A119580) |
Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: CA A119580) |
2085R0202X Radiology, Diagnostic Radiology (Licence: CA A119580) | |
Enumeration Date | 2008-06-11 |
Last Update Date | 2024-04-08 |