| NPI | 1245293968 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207U00000X Nuclear Medicine (Licence: FL ME165592) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: GA 69423) |
| 207U00000X Nuclear Medicine (Licence: GA 4583) | |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2024-07-24 |