| NPI | 1033391883 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207UN0902X Nuclear Medicine, Nuclear Imaging & Therapy (Licence: PR 17821) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 17821) |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2010-11-02 |