| NPI | 1346598885 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207U00000X Nuclear Medicine (Licence: MI 4301508191) |
| Additional Taxonomies | 2085N0904X Radiology Nuclear Radiology (Licence: MI 4301101020) |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2023-01-09 |