| NPI | 1235246224 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084D0003X Psychiatry & Neurology Diagnostic Neuroimaging (Licence: TX J0491) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: TX J0491) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2011-05-10 |