| NPI | 1346212560 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207U00000X Nuclear Medicine (Licence: MD D0033107) |
| Additional Taxonomies | 2085N0904X (Licence: MD D0033107) |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2020-06-30 |