| NPI | 1427197060 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME101248) |
| Additional Taxonomies | 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: FL ME101248) |
| 2085B0100X Radiology, Body Imaging (Licence: FL ME101248) | |
| 2085U0001X Radiology, Diagnostic Ultrasound (Licence: FL ME101248) | |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2021-06-10 |