| NPI | 1639602501 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME153403) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: FL ME153403) |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: FL ME153403) | |
| Enumeration Date | 2017-04-07 |
| Last Update Date | 2023-06-08 |