| NPI | 1053556217 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207U00000X Nuclear Medicine (Licence: VA 0101050350) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: MD D0033521) |
| Enumeration Date | 2008-12-02 |
| Last Update Date | 2008-12-02 |