| NPI | 1174798730 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: NY 266100) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207U00000X Nuclear Medicine (Licence: NY 266100) | |
| 207UN0902X Nuclear Medicine, Nuclear Imaging & Therapy (Licence: NY 266100) | |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2013-10-30 |