| NPI | 1831531300 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0904X Radiology, Nuclear Radiology (Licence: MO 2017041455) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO 2017041455) |
| Enumeration Date | 2013-07-24 |
| Last Update Date | 2024-04-25 |