| NPI | 1093798720 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207U00000X Nuclear Medicine (Licence: OH 34003488) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 34003488) |
| Enumeration Date | 2005-11-28 |
| Last Update Date | 2023-01-27 |