| NPI | 1134359599 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207U00000X Nuclear Medicine (Licence: GA 88214) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME121864) |
| 207R00000X Internal Medicine (Licence: MO 2009010810) | |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MI 4301102046) | |
| 207U00000X Nuclear Medicine (Licence: FL ME121864) | |
| Enumeration Date | 2009-07-20 |
| Last Update Date | 2023-06-06 |