| NPI | 1548588759 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207UN0902X Nuclear Medicine, Nuclear Imaging & Therapy (Licence: NY 227633-1) |
| Additional Taxonomies | 207UN0902X Nuclear Medicine, Nuclear Imaging & Therapy (Licence: OH 35-07-9911-U) |
| 207UN0902X Nuclear Medicine, Nuclear Imaging & Therapy (Licence: PA MD-052894-L) | |
| 2085N0904X Radiology, Nuclear Radiology (Licence: NC 2018-00210) | |
| Enumeration Date | 2010-05-12 |
| Last Update Date | 2022-12-20 |