| NPI | 1669640348 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME119590) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: FL ME119590) |
| 2085N0904X (Licence: FL ME119590) | |
| Enumeration Date | 2008-02-14 |
| Last Update Date | 2025-09-02 |