| NPI | 1891897427 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207UN0902X Nuclear Medicine, Nuclear Imaging & Therapy (Licence: NY 165646) |
| Additional Taxonomies | 2085U0001X Radiology, Diagnostic Ultrasound (Licence: NY 154646) |
| Enumeration Date | 2006-09-03 |
| Last Update Date | 2007-07-08 |