| NPI | 1366712176 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207U00000X Nuclear Medicine (Licence: AZ 50677) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: CA A117646) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A117646) | |
| Enumeration Date | 2012-01-10 |
| Last Update Date | 2022-03-30 |