| NPI | 1962477414 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NM MD2010-0781) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2001014978) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: KS 0432978) | |
| 207U00000X Nuclear Medicine (Licence: MO 2001014978) | |
| 207U00000X Nuclear Medicine (Licence: KS 0432978) | |
| 207U00000X Nuclear Medicine (Licence: NM MD2010-0781) | |
| Enumeration Date | 2006-02-20 |
| Last Update Date | 2014-02-18 |