| NPI | 1134304512 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207U00000X Nuclear Medicine (Licence: AR E-5892) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: MI 4301091356) |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: MI 4301091356) | |
| 207UN0902X Nuclear Medicine, Nuclear Imaging & Therapy (Licence: MI 4301091356) | |
| 207UN0903X Nuclear Medicine, In Vivo & In Vitro Nuclear Medicine (Licence: MI 4301091356) | |
| 208D00000X General Practice (Licence: MI 4301091356) | |
| Enumeration Date | 2008-01-04 |
| Last Update Date | 2009-01-09 |