| NPI | 1932593746 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207U00000X Nuclear Medicine (Licence: PA MD467924) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: NY 300217) |
| 207UN0902X Nuclear Medicine, Nuclear Imaging & Therapy (Licence: NY 300217-01) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD467924) | |
| Enumeration Date | 2015-03-19 |
| Last Update Date | 2024-02-05 |