| NPI | 1316158306 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207U00000X Nuclear Medicine (Licence: FL ME96653) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME96653) |
| 2085N0700X (Licence: FL ME96653) | |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2025-10-22 |