| NPI | 1386768679 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207UN0902X Nuclear Medicine Nuclear Imaging & Therapy (Licence: OH 35074083) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: OH 35.074083) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2023-11-27 |