| NPI | 1588618938 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0904X Radiology, Nuclear Radiology (Licence: PA MD428793) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: FL ME154398) |
| 207UN0902X Nuclear Medicine, Nuclear Imaging & Therapy (Licence: FL ME154398) | |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2023-12-07 |