| NPI | 1689767808 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207UN0901X Nuclear Medicine Nuclear Cardiology |
| Additional Taxonomies | 207UN0902X Nuclear Medicine Nuclear Imaging & Therapy |
| 2085R0204X Radiology Vascular & Interventional Radiology | |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2007-07-08 |