| NPI | 1417214073 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207UN0902X Nuclear Medicine, Nuclear Imaging & Therapy (Licence: CA 186907) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: NY 294092) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CA 186907) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 294092) | |
| Enumeration Date | 2012-04-19 |
| Last Update Date | 2023-07-24 |