| NPI | 1366417818 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207U00000X Nuclear Medicine (Licence: PA MD427361) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MD427361) |
| Enumeration Date | 2006-02-20 |
| Last Update Date | 2012-05-21 |