| NPI | 1225180367 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207U00000X Nuclear Medicine (Licence: CA A95055) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: TN MD0000040690) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2023-05-01 |