| NPI | 1689510851 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: UT 14268768-1252) |
| Additional Taxonomies | 207UN0902X Nuclear Medicine, Nuclear Imaging & Therapy (Licence: UT 14268768-1252) |
| Enumeration Date | 2026-04-28 |
| Last Update Date | 2026-05-22 |