| NPI | 1316444615 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207UN0902X Nuclear Medicine, Nuclear Imaging & Therapy (Licence: WI 73825-20) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 73825-20) |
| Enumeration Date | 2018-04-12 |
| Last Update Date | 2024-12-12 |