| NPI | 1104032234 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207U00000X Nuclear Medicine (Licence: HI 10547) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: HI 10547) |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: HI 10547) | |
| 207UN0902X Nuclear Medicine, Nuclear Imaging & Therapy (Licence: HI 10547) | |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2010-05-19 |