| NPI | 1235146648 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207UN0902X Nuclear Medicine, Nuclear Imaging & Therapy (Licence: TN MD0000046850) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: AZ 41198) |
| 207UN0902X Nuclear Medicine, Nuclear Imaging & Therapy (Licence: CA A93513) | |
| 207UN0902X Nuclear Medicine, Nuclear Imaging & Therapy (Licence: TX N5255) | |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2011-05-13 |