| NPI | 1902580582 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207U00000X Nuclear Medicine (Licence: WI 100656-851) |
| Additional Taxonomies | 2085N0904X Radiology, Nuclear Radiology (Licence: WI 100656-851) |
| Enumeration Date | 2023-06-14 |
| Last Update Date | 2024-06-28 |