NPI | 1669640348 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME119590) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D0074165) |
2085N0904X Radiology, Nuclear Radiology (Licence: MD D74165) | |
2085N0904X Radiology, Nuclear Radiology (Licence: FL ME119590) | |
207U00000X Nuclear Medicine (Licence: FL ME119590) | |
207U00000X Nuclear Medicine (Licence: MD D0074165) | |
Enumeration Date | 2008-02-14 |
Last Update Date | 2024-04-24 |