| NPI | 1124275961 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207U00000X Nuclear Medicine (Licence: DE C1-0012574) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: PA MD466799) |
| 207U00000X Nuclear Medicine (Licence: NY 258151) | |
| 207UN0901X Nuclear Medicine Nuclear Cardiology (Licence: DE C1-0012574) | |
| 207UN0901X Nuclear Medicine Nuclear Cardiology (Licence: PA MD466799) | |
| Enumeration Date | 2008-08-23 |
| Last Update Date | 2019-04-08 |