| NPI | 1508824608 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207U00000X Nuclear Medicine (Licence: FL ME50946) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL ME50946) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME50946) | |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2022-09-02 |