| NPI | 1417123407 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0904X Radiology, Nuclear Radiology (Licence: NC 142552) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 142552) |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2022-11-23 |