| NPI | 1336197300 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207U00000X Nuclear Medicine (Licence: CA A25705) |
| Additional Taxonomies | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: CA A25705) |
| 2471S1302X Radiologic Technologist Sonography (Licence: CA A25705) | |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2011-02-07 |