| NPI | 1750523031 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0904X Radiology, Nuclear Radiology (Licence: CA A119664) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: CA A119664) |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: CA A119664) | |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2024-07-24 |