| NPI | 1457553398 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207U00000X Nuclear Medicine (Licence: FL ME98397) |
| Additional Taxonomies | 2085N0904X Radiology, Nuclear Radiology (Licence: FL ME98397) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2021-03-02 |