| NPI | 1730166885 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207U00000X Nuclear Medicine (Licence: MN 42217) |
| Additional Taxonomies | 2085N0904X Radiology, Nuclear Radiology (Licence: MN 42217) |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2020-08-18 |