| NPI | 1881684371 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0904X Radiology Nuclear Radiology (Licence: PA OS022505) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 02002566A) |
| 2085N0904X Radiology Nuclear Radiology (Licence: IN 02002566A) | |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2023-10-20 |