| NPI | 1184802050 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207UN0902X Nuclear Medicine, Nuclear Imaging & Therapy (Licence: NY 279254) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 279254) |
| Enumeration Date | 2008-02-04 |
| Last Update Date | 2023-08-16 |