| NPI | 1447298575 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207UN0902X Nuclear Medicine Nuclear Imaging & Therapy (Licence: KY 36129) |
| Additional Taxonomies | 2085N0904X Radiology Nuclear Radiology (Licence: KY 36129) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2025-05-15 |