| NPI | 1700094703 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085D0003X Radiology, Diagnostic Neuroimaging (Licence: FL ME0041845) |
| Additional Taxonomies | 207UN0902X Nuclear Medicine, Nuclear Imaging & Therapy (Licence: FL ME 41845) |
| 207U00000X Nuclear Medicine (Licence: FL ME 41845) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: FL MR 41845) | |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2008-08-28 |