| NPI | 1366605602 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207U00000X Nuclear Medicine (Licence: FL ME109579) |
| Additional Taxonomies | 2085N0700X (Licence: FL ME109579) |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2026-09-14 |