| NPI | 1316696396 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207UN0902X Nuclear Medicine, Nuclear Imaging & Therapy (Licence: WI 83772) |
| Additional Taxonomies | 2085N0904X Radiology, Nuclear Radiology (Licence: WI 83772-20) |
| Enumeration Date | 2022-03-18 |
| Last Update Date | 2024-07-10 |