| NPI | 1093531014 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207U00000X Nuclear Medicine (Licence: TX 023457) |
| Additional Taxonomies | 207UN0901X Nuclear Medicine Nuclear Cardiology (Licence: TX 023457) |
| Enumeration Date | 2024-11-25 |
| Last Update Date | 2024-11-25 |