NPI | 1831196658 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME72691) |
Additional Taxonomies | 207RM1200X Internal Medicine, Magnetic Resonance Imaging (MRI) (Licence: FL 72691) |
207U00000X Nuclear Medicine (Licence: FL 72691) | |
207UN0902X Nuclear Medicine, Nuclear Imaging & Therapy (Licence: FL ME72691) | |
2085N0904X Radiology, Nuclear Radiology (Licence: FL ME72691) | |
Enumeration Date | 2005-07-07 |
Last Update Date | 2024-03-27 |