| NPI | 1881691616 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: FL ME80198) |
| Additional Taxonomies | 207RM1200X Internal Medicine Magnetic Resonance Imaging (MRI) (Licence: FL 80198) |
| 207U00000X Nuclear Medicine (Licence: FL ME80198) | |
| 207UN0902X Nuclear Medicine Nuclear Imaging & Therapy (Licence: FL ME80798) | |
| 2085N0904X Radiology Nuclear Radiology (Licence: FL ME80198) | |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2023-03-28 |