| NPI | 1295761880 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207U00000X Nuclear Medicine (Licence: CA G78167) |
| Additional Taxonomies | 2085N0904X Radiology, Nuclear Radiology (Licence: CA G78167) |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2019-12-12 |