| NPI | 1235709148 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: MD N0001741) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: MD N0001741) |
| 3336N0007X Pharmacy, Nuclear Pharmacy (Licence: MD N0001741) | |
| 207UN0902X Nuclear Medicine, Nuclear Imaging & Therapy (Licence: MD N0001741) | |
| 207UN0903X Nuclear Medicine, In Vivo & In Vitro Nuclear Medicine (Licence: MD N0001741) | |
| 2085N0904X Radiology, Nuclear Radiology (Licence: MD N0001741) | |
| 2471N0900X Radiologic Technologist, Nuclear Medicine Technology (Licence: MD N0001741) | |
| Enumeration Date | 2021-07-01 |
| Last Update Date | 2022-03-17 |