| NPI | 1164698460 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207U00000X Nuclear Medicine (Licence: TX U2675) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: GA 63755) |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2023-10-10 |