| NPI | 1578722906 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0904X Radiology, Nuclear Radiology (Licence: KY 51462) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: KY 51462) |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2022-06-16 |