| NPI | 1154616027 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207U00000X Nuclear Medicine (Licence: CA A105234) |
| Additional Taxonomies | 207UN0901X Nuclear Medicine Nuclear Cardiology (Licence: CA A105234) |
| 207UN0902X Nuclear Medicine Nuclear Imaging & Therapy (Licence: CA A105234) | |
| 207UN0903X Nuclear Medicine In Vivo & In Vitro Nuclear Medicine (Licence: CA A105234) | |
| 2085N0904X Radiology Nuclear Radiology (Licence: CA A105234) | |
| Enumeration Date | 2011-06-18 |
| Last Update Date | 2020-02-22 |