| NPI | 1275735201 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207U00000X Nuclear Medicine (Licence: FL ME163583) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CT 083407) |
| 207U00000X Nuclear Medicine (Licence: CT 083407) | |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2026-03-10 |