| NPI | 1114918141 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207U00000X Nuclear Medicine (Licence: DC MD034251) |
| Additional Taxonomies | 207UN0902X Nuclear Medicine Nuclear Imaging & Therapy (Licence: WI 81985-20) |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2024-04-23 |