| NPI | 1932102399 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD028803E) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: PA MD028803E) |
| 2085N0904X Radiology, Nuclear Radiology (Licence: PA MD028803E) | |
| 207UN0902X Nuclear Medicine, Nuclear Imaging & Therapy (Licence: PA MD028803E) | |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: PA MD028803E) | |
| 207UN0903X Nuclear Medicine, In Vivo & In Vitro Nuclear Medicine (Licence: PA MD028803E) | |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2016-06-30 |