| NPI | 1679736755 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207U00000X Nuclear Medicine (Licence: SD 7516) |
| Additional Taxonomies | 207UN0902X Nuclear Medicine, Nuclear Imaging & Therapy (Licence: SD 7516) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: SD 7516) | |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2022-04-06 |