| NPI | 1417242769 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0904X Radiology, Nuclear Radiology (Licence: VA 0101273253) |
| Additional Taxonomies | 207UN0902X Nuclear Medicine, Nuclear Imaging & Therapy (Licence: IA MD-43736) |
| Enumeration Date | 2011-06-15 |
| Last Update Date | 2023-08-09 |