| NPI | 1043296304 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207U00000X Nuclear Medicine (Licence: CT 020516) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: MA 246260) |
| Enumeration Date | 2005-12-19 |
| Last Update Date | 2018-01-17 |