| NPI | 1417218538 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085B0100X Radiology, Body Imaging (Licence: MD D0058822) |
| Additional Taxonomies | 207UN0902X Nuclear Medicine, Nuclear Imaging & Therapy (Licence: MD D0058822) |
| Enumeration Date | 2012-06-05 |
| Last Update Date | 2012-06-05 |