| NPI | 1538304035 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D0083230) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: GU MC-181) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 7262) | |
| 207U00000X Nuclear Medicine (Licence: WA MD60349226) | |
| 207U00000X Nuclear Medicine (Licence: MD D0083230) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 75370) | |
| Enumeration Date | 2008-12-11 |
| Last Update Date | 2024-03-14 |