| NPI | 1306466826 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207U00000X Nuclear Medicine (Licence: NY 326821) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: AL 53030) |
| Enumeration Date | 2020-04-24 |
| Last Update Date | 2026-02-02 |