NPI | 1699782185 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207U00000X Nuclear Medicine (Licence: PA MD-026296-E) |
Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: PA MD-026296-E) |
Enumeration Date | 2006-08-01 |
Last Update Date | 2007-07-08 |