| NPI | 1043369093 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207UN0903X Nuclear Medicine In Vivo & In Vitro Nuclear Medicine (Licence: CA GFE53757) |
| Additional Taxonomies | 2085R0001X Radiology Radiation Oncology (Licence: PA MD024466E) |
| 2085R0001X Radiology Radiation Oncology (Licence: MI 4301054885) | |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2012-09-17 |