| NPI | 1659582286 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207U00000X Nuclear Medicine (Licence: FL ME119355) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: NC 2009-0003) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME119355) | |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2022-09-08 |