| NPI | 1255494472 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207UN0902X Nuclear Medicine, Nuclear Imaging & Therapy (Licence: GA 65567) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 41890) |
| 207R00000X Internal Medicine (Licence: GA 65567) | |
| 207UN0902X Nuclear Medicine, Nuclear Imaging & Therapy (Licence: AZ 41890) | |
| 208D00000X General Practice (Licence: PR 15904) | |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2023-07-19 |