| NPI | 1053046490 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207U00000X Nuclear Medicine (Licence: WI 84310-20) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: WI 100139851) |
| Enumeration Date | 2022-07-20 |
| Last Update Date | 2024-08-26 |