| NPI | 1083714398 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207U00000X Nuclear Medicine (Licence: OR MD210425) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA A85028) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2022-06-09 |