NPI | 1205824174 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207U00000X Nuclear Medicine (Licence: IA 33216) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA 33216) |
Enumeration Date | 2005-10-13 |
Last Update Date | 2007-12-04 |