| NPI | 1336310101 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085B0100X Radiology, Body Imaging (Licence: CA A112206) |
| Additional Taxonomies | 2085N0904X Radiology, Nuclear Radiology (Licence: CA A112206) |
| Enumeration Date | 2008-03-19 |
| Last Update Date | 2012-06-06 |