| NPI | 1316051659 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207U00000X Nuclear Medicine (Licence: TN MD15131) |
| Additional Taxonomies | 207UN0902X Nuclear Medicine, Nuclear Imaging & Therapy (Licence: TN MD0000015131) |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: TN MD15131) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: TN MD15131) | |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2015-01-05 |