| NPI | 1063462240 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207U00000X Nuclear Medicine (Licence: VA 0101-031800) |
| Additional Taxonomies | 207UN0902X Nuclear Medicine, Nuclear Imaging & Therapy (Licence: VA 0101-031800) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2007-07-08 |