| NPI | 1639288335 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207U00000X Nuclear Medicine (Licence: FL 20012) |
| Additional Taxonomies | 2085U0001X Radiology, Diagnostic Ultrasound (Licence: FL 20012) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2007-07-11 |