| NPI | 1912905357 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207U00000X Nuclear Medicine (Licence: NY 188397) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 188397) |
| 207R00000X Internal Medicine (Licence: NY 188397) | |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: NY 188397) | |
| 207UN0902X Nuclear Medicine, Nuclear Imaging & Therapy (Licence: NY 188397) | |
| 207UN0903X Nuclear Medicine, In Vivo & In Vitro Nuclear Medicine (Licence: NY 188397) | |
| Enumeration Date | 2005-07-11 |
| Last Update Date | 2021-02-15 |