| NPI | 1033268578 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: TX E7652) |
| Additional Taxonomies | 2085N0904X (Licence: TX E7652) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2011-10-06 |