| NPI | 1245389956 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207U00000X Nuclear Medicine (Licence: NC 2008-01059) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: PA MT184909) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2010-10-08 |