| NPI | 1811043573 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: WA MD00028739) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: WA MD00028739) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2009-09-29 |