| NPI | 1700142726 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207U00000X Nuclear Medicine (Licence: MI EMC0004524) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: CA A167672) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036167466) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A167672) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MI EMC0004524) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 35.138462) | |
| Enumeration Date | 2012-04-03 |
| Last Update Date | 2024-04-03 |