| NPI | 1245284892 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: ME MD16817) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: ME MD16817) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2015-11-03 |