NPI | 1144377896 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207U00000X Nuclear Medicine (Licence: DC MD039600) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A95684) |
Enumeration Date | 2007-01-04 |
Last Update Date | 2012-03-07 |