| NPI | 1992728646 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0904X Radiology, Nuclear Radiology (Licence: PA MD423580) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MD423580) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2018-09-20 |