| NPI | 1275558314 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207U00000X Nuclear Medicine (Licence: KY TP643) |
| Additional Taxonomies | 207UN0901X Nuclear Medicine Nuclear Cardiology (Licence: NJ 25MA07759500) |
| 207U00000X Nuclear Medicine (Licence: NJ 25MA07759500) | |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2020-12-07 |