| NPI | 1194836858 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301059313) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: MI 4301059313) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2023-11-27 |