| NPI | 1588169171 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 2023-00945) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: CA A179344) |
| 207U00000X Nuclear Medicine (Licence: NC 2023-00945) | |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2024-06-13 |