| NPI | 1316961550 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: CA A90561) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A90561) |
| 208D00000X General Practice (Licence: CA A90561) | |
| 207UN0903X Nuclear Medicine, In Vivo & In Vitro Nuclear Medicine (Licence: CA A90561) | |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2023-02-10 |