| NPI | 1326082876 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207U00000X Nuclear Medicine (Licence: CA A52110) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: CA A52110) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2024-07-15 |