| NPI | 1194344457 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207U00000X Nuclear Medicine (Licence: TX V1452) |
| Additional Taxonomies | 207UN0902X Nuclear Medicine Nuclear Imaging & Therapy (Licence: TX V1452) |
| Enumeration Date | 2020-04-15 |
| Last Update Date | 2024-06-27 |